Active NPI
Paul Oliver Memorial Hospital
- Emergency Medicine Physician
- Frankfort, MI
National Provider Identifier
1689840639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PAUL OLIVER MEMORIAL HOSPITAL
- Practice address
- 224 Park Ave
Frankfort, MI 49635-9658 - Phone
- (231) 352-2200
- NPI assigned
- Apr 30, 2008
- Last updated
- Apr 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Frye, MD
- Title
- Pres. Ambulatory & Bus. Development
- Phone
- (704) 458-8010
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | Primary | |
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| General Practice Physician | 208D00000X | NU | ||
| Hospitalist Physician | 208M00000X | NU |
Addresses
Primary practice location
224 Park Ave
Frankfort, MI 49635-9658
Mailing address
PO Box 1063
Traverse City, MI 49685-1063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700A060000 | Other | BLUE SHIELD | |
| 700A060000 | Other | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040225000359 | MI | Part B Supplier - Clinic/Group Practice | 8628964848 |
Receives reassigned benefits from 33 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kalkaska, MI; Traverse City, MI; Manistee, MI; Grayling, MI; Gaylord, MI; Frankfort, MI; Empire, MI; Charlevoix, MI… |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Frankfort Medical Group a Service of Paul Oliver Memorial Hospital
- Rural Health Clinic/Center
- Frankfort, MI
- NPI 1306471305
O20040225000359
-
- Orthopaedic Surgery Physician
- Frankfort, MI
- NPI 1356993141
O20040225000359
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Marlette, MI
- NPI 1750425682
-
- Emergency Medical Services (Emergency Medicine) Physician
- Alpena, MI
- NPI 1467458992
-
- Family Medicine Physician
- Empire, MI
- NPI 1215348842
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1184676181
-
- Emergency Medicine Physician
- Aurora, CO
- NPI 1720321805
-
- Physician Assistant
- Traverse City, MI
- NPI 1164507315
-
- Physician Assistant
- Chelsea, MI
- NPI 1184679748
-
- Internal Medicine Physician
- Traverse City, MI
- NPI 1376748525
-
- Physician Assistant
- Newaygo, MI
- NPI 1760581383
-
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1740275379
Family Medicine
-
- Surgical Physician Assistant
- Traverse City, MI
- NPI 1710901517
-
- Physician Assistant
- Interlochen, MI
- NPI 1437259926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776297600000",
"number": "1689840639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1063",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496851063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 PARK AVE",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "496359658",
"telephone_number": "231-352-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL OLIVER MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-30",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A",
"authorized_official_last_name": "FRYE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRES. AMBULATORY & BUS. DEVELOPMENT",
"authorized_official_telephone_number": "704-458-8010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "700A060000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "700A060000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, MI
- Paul Oliver Memorial Hospital (Frankfort Medical Group a Service of Paul Oliver Memorial Hospital)
- Paul Oliver Memorial Hospital
- Paul Oliver Memorial Hospital
- Paul Oliver Memorial Hospital
- Paul Oliver Memorial Hospital
- Paul Oliver Memorial Hospital (Frankfort Medical Group a Service of Paul Oliver)
- Ann Peterson, D.C.
- Zachary Cole Peterson, D.C.
- Kathy Elizabeth Pilon, OTR, CHT
- Michele Pletcher, PTA,WCC,CLT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.