Michael J Vanwagner, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101021608 Issued in MI

Practice address

2147 Professional Dr
Gaylord, MI 49735-0003

Phone

(989) 732-1753

NPI assigned

Jun 27, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Michigan State University College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Munson Healthcare Otsego Memorial HospitalGroup PAC ID 8325942535, 126 clinicians

Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Home Care Home health agency, Traverse City, MI, CCN 237025
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
• Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
• Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mvanwagner2@direct.mhc.net
• Direct secure messaging: mvanwagner510921@direct.hfhs.org
• Direct secure messaging: michaelvanwagner@tcortho.directglo.com

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.

• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Otsego Memorial Hospital

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment Care Compare group NPD
• Munson Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Cadillac

  • Rural Health Clinic/Center
  • MC Bain, MI
  • NPI 1336539063
  Medicare reassignment NPD
• Munson Healthcare Cadillac

  • Psychiatry Physician
  • Traverse City, MI
  • NPI 1720955081
  NPD
• Munson Healthcare Cadillac

  • Orthopaedic Surgery Physician
  • Cadillac, MI
  • NPI 1982110524
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1770374530
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • General Practice Physician
  • Gaylord, MI
  • NPI 1821064643

  Orthopaedic Surgery

  NPD
• Munson Medical Center

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1467102236
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Munson Medical Center

  • Orthopaedic Trauma Physician
  • Traverse City, MI
  • NPI 1992307052
  NPD
• Munson Medical Center

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953
  Care Compare affiliation
• Munson Healthcare Otsego Memorial Hospital

  • General Acute Care Hospital
  • Gaylord, MI
  • NPI 1124028972
  Care Compare affiliation
• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Paul Oliver Memorial Hospital

  • Critical Access Hospital
  • Frankfort, MI
  • NPI 1427054360
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1639551559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8872 Professional Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018482",
            "country_code": "US",
            "telephone_number": "231-779-0320",
            "fax_number": "231-779-1367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "904-953-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St Ste E",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847943",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "fax_number": "231-935-3464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "989-258-7777",
            "fax_number": "989-258-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWAGNER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2023-03-14",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "OS16571",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101021608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvanwagner2@direct.mhc.net",
            "affiliation": "N",
            "address_1": "3537 W Front St Ste E",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496847943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Curtis Vale, D.M.D.
• Ronald L. Vance, R.P.T.
• Julie Lynn Vandusen, MA.
• Courtney Vanooyen
• Steffaney Ann Vantil
• Rosaria Vasile
• Thomas James Veryser, DDS
• Josephine Anne Vincent, FNP-C
• Visions for Your Community Care HHC
• Visions Home Health Care Agency Northwest, Inc

• Orthopaedic Surgery Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.

Verify at the official NPI Registry.