Active NPI
Olivia Juntila, MD
- Anesthesiology Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301504547
- Practice address
- 1105 6TH St
Traverse City, MI 49684-2345 - Phone
- (231) 935-5000
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Anesthesiology Physician | 207L00000X | 4301504547 | MI | Primary |
Addresses
Primary practice location
1105 6TH St
Traverse City, MI 49684-2345
Mailing address
4100 Park Forest Dr Ste 210
Traverse City, MI 49684-7306
Phone (231) 935-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210712001872 | MI | Practitioner - Anesthesiology | 5991075228 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Medical GroupMunson Medical Center
Practice addresses (Care Compare)
1200 6TH St
Traverse City, MI 49684-2369
Phone (231) 935-5800
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
Hospital & facility affiliations
- Munson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Group | Anesthesiology | Current | Accepting new patients |
| Munson Medical Center | Anesthesiology | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients |
Locations
2891 Momentum Pl
Chicago, IL 60689
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
4100 Park Forest Dr
Ste 210
Traverse City, MI 49684
Phone (231) 935-5770
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Home Infusion Therapy Pharmacy
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- NPI 1134205032
-
- Specialty Pharmacy
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- NPI 1194425447
-
- Audiologist
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- NPI 1306097167
-
- Sleep Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1336175165
-
- Radiation Oncology Physician
- Traverse City, MI
- NPI 1376097733
-
- Social Worker
- Traverse City, MI
- NPI 1386672665
-
- Nurse Practitioner
- Traverse City, MI
- NPI 1477581759
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1497275929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 PARK FOREST DR STE 210",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847306",
"telephone_number": "231-935-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 6TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-935-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNTILA",
"first_name": "OLIVIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301504547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.