Colin Irish, DO
Individual provider Active NPI Family Medicine Physician · Munising, MI
NPI 1700947710 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1700947710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101014041 (MI)
- Practice address
- 1500 Sandpoint Rd
Munising, MI 49862-1406 - Phone
- (906) 387-4338
- Fax
- (906) 387-2825
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grand View Lane
Ironwood, MI 49938-9622
N10565 Grandview Lane
Ironwood, MI 49938-9622
N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Christian Park Village |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Christian Park Healthcare Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Optalis Health and Rehabilitation of Kingsford |
Skilled nursing facility | Adp of the SNF | Nov 28, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412001330 | MI | Practitioner - Family Practice |
3274570189 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current |
Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current |
Accepting new patients | |
| Pinecrest Medical Care Facility | Past | Accepting new patients | |
| Christian Park HCC Acquisition Company, LLC | Past | Accepting new patients | |
| Optalis Kingsford Opco LLC | Past | Accepting new patients | |
| Iron County Medical Care Facility | Past | Accepting new patients | |
| Christian Park Village Acquisition Company, LLC | Past | Accepting new patients | |
| Bell Medical Center | Past |
Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
1523 US Highway 2
Crystal Falls, MI 49920
Phone (906) 874-6671
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101014041 | MI | Yes |
Addresses
Primary practice location
1500 Sandpoint Rd
Munising, MI 49862-1406
Mailing address
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114331997 | Medicaid | MI | |
| CI014041 | Other | MI | BCBS LICENSE |
Other providers in Munising, MI
- Great Lakes Recovery Centers
- Paul Walter Haduck
- Rachel M Harmon
- Healthquest of Alger County PLC
- Hiawatha Medical PC
- Jmsii Chiropractic PC
- Christian G. Kagey II
- Robert C Kamp II
- Kareem Said MD
- Bonnie Lou Kilpela
All providers in Munising, 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 May 6, 2019. 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.
- Order and Referring (CMS).
- 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.