Munson Healthcare Cadillac
Organization Active NPI Family Medicine Physician · Cadillac, MI
NPI 1487051611 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1487051611
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MUNSON HEALTHCARE CADILLAC
- Practice address
- 400 Hobart St
Cadillac, MI 49601-2331 - Phone
- (231) 876-7234
- Fax
- (231) 876-7176
- NPI assigned
- Dec 3, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- MUNSON HEALTHCARE
Authorized official
- Name
- Michael Frye
- Title
- Pres. Ambulatory & Bus. Development
- Phone
- (704) 458-8010
Owners & managing parties with NPI records 2
-
Dino Recchia, M.D.
Other NPIs on the same Medicare enrollment 8
Related certifications (CCN) 2
Practitioners 45
-
Barbara Ames, NP-C
-
Melisa Ann Ardis, PA-C
-
Carly Batcha, NP
-
Paul Remo Bizzigotti, M.D.
-
Steven Brennan, DO
-
Caitlin Buren, FNP-C
-
Julie Comfort, FNP
-
Wayte Davill, MD
-
Jennifer Ghering-Throop, LMSW
-
Tami Jean Hiser, N.P.-C
-
Dana Lucile Hoffman, MSN, ANP-C
-
Nicole Kanomata, FNP
-
Yelena Kier, D.O.
-
Peter C Kohler, M.D.
-
Kristian Michael Koller, D.O.
-
Gregory Lambourne, M.D.
-
Vijay Krishna Manne, M.D.
-
Mallorie McComb, NP
-
David P Michelin, MD
Affiliated clinicians 515
-
Madeline Adams, FNP
-
Todd R Adams, DO
-
Shahid Nafees Ahmad, M.D.
-
Kyle Ahnert, NP
-
Ali Alateya, M.D
-
Amelia Emilee Albachten, FNP-BC
-
Christy Joy Alexander, P.A.-C
-
Jefferson D Alferink, PA-C
-
Arshad Ali, MD
-
Ferris Alkazir, MD
-
William Charles Allsopp, D.O.
-
Peter F Alvarado, D.O.
-
Barbara Ames, NP-C
-
Carl B Anders, MD
-
Kevin Anderson, M.D.
-
Thomas C Andrews, MD
-
Joel Elmer Anhalt, D.O.
-
Rehan Ansari, MD
-
Paul Joseph Antal, M.D.
-
Ashley A Apsey, RN, FNP-C
-
Nicole Joan Archambault, PA-C
Medicare Care Compare: Hospital
- Listed as
- Munson Healthcare Cadillac Hospital
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
Hospital certification: CCN 230081
- Legal name
- MUNSON HEALTHCARE CADILLAC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jan 7, 1988
- Beds
- 117
- Ownership / control type
- Church
- Most recent change of ownership
- Feb 1, 2015 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jun 17, 2014 in MI
- Enrollment address
- 400 Hobart St
Cadillac, MI 49601-2331 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Andrew Page |
Corporate Officer |
Jan 1, 2024 | |
| Ruth Hoppe |
Corporate Director |
Jan 1, 2022 | |
| Paul Konopacki |
Corporate Officer |
Jan 1, 2024 | |
| W-2 Managing Employee | Jan 1, 2024 | ||
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Vincent Schultz |
Corporate Officer |
Jan 1, 2024 | |
| Thomas Veryser |
Corporate Director |
Jan 1, 2022 | |
| Kenneth D Bloem |
Corporate Director |
Jan 1, 2022 | |
| Timothy Nelson |
Corporate Director |
Jan 1, 2022 | |
| David Menegebier |
Corporate Officer |
Jan 1, 2024 | |
| Edward Lanphier |
Corporate Director |
Jan 1, 2026 | |
| Kathy Dixon |
Corporate Director |
Jan 1, 2022 | |
| Mary Sanders |
Corporate Director |
Jan 1, 2022 | |
| Elaine Wood |
Corporate Director |
Jan 1, 2022 | |
| Munson Healthcare |
Operational/Managerial Control | Feb 1, 2015 | 100% |
| Peter E Marinoff |
Corporate Director | Dec 13, 2023 | 100% |
| W-2 Managing Employee | Jan 1, 2022 | ||
| Edwin a Ness |
Corporate Officer |
Jul 1, 2004 | |
| Owen Roberts |
Corporate Officer |
Feb 1, 2015 | |
| Corporate Director |
Jan 1, 2022 | ||
| Bruce Zenner |
Corporate Director |
Jan 1, 2022 | |
| Sakura Takano |
Corporate Director |
Jan 1, 2022 | |
| Kristine Thomas |
Corporate Director |
Jan 1, 2022 | |
| Brian Postma |
Corporate Director |
Jan 1, 2022 | |
| Dino Recchia |
Corporate Officer |
Jan 1, 2024 | |
| Jennifer King |
Corporate Officer |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150211000241 | MI | Part a Provider - Hospital | 6305161514 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cadillac, MI; Traverse City, MI |
| O20150401000808 | MI | Part B Supplier - Clinic/Group Practice | 6305161514 |
Receives reassigned benefits from 174 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frankfort, MI; Traverse City, MI; MC Bain, MI; Manistee, MI; Kalkaska, MI; Grayling, MI; Gaylord, MI; Charlevoix, MI… |
National Provider Directory
- Part of
- Munson Manor Hospitality House
Locations
2800 W Big Beaver Rd
Ste V-368
Troy, MI 48084
Phone (248) 816-0990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse |
163WI0500X | |||
| Family Medicine Physician |
207Q00000X | MI | Yes | |
| Internal Medicine Physician |
207R00000X | MI | ||
| Cardiovascular Disease Physician |
207RC0000X | MI | ||
| Hematology & Oncology Physician |
207RH0003X | MI | ||
| Obstetrics & Gynecology Physician |
207V00000X | MI | ||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Adult Health Nurse Practitioner |
363LA2200X | MI | ||
| Family Nurse Practitioner |
363LF0000X | MI |
Addresses
Primary practice location
400 Hobart St
Cadillac, MI 49601-2331
Mailing address
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7234
Other practice location 1
217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400
Other practice location 2
701 N Otsego Ave
Gaylord, MI 49735-1558
Phone (989) 731-7760
Other practice location 3
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 876-6421
Other names
- Munson Healthcare Cadillac Physician Network
Other providers in Cadillac, MI
- Emily Rose Mueller
- David Mullin
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
- Munson Healthcare Cadillac
All providers in Cadillac, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.