Munson Healthcare Otsego Memorial Hospital
Organization Active NPI General Practice Physician · Gaylord, MI
NPI 1821064643 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1821064643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
- Practice address
- 829 N Center Ave
Gaylord, MI 49735 - Phone
- (989) 731-7708
- Fax
- (989) 731-7929
- NPI assigned
- Feb 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Frye, MD
- Title
- Pres. Ambulatory & Bus. Development
- Phone
- (704) 458-8010
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 31
Practitioners 204
-
Lisa Shea Allred, MD
-
Brittany Armstrong, D.O.
-
Jennifer Armstrong, NP-C
-
Matthew Glenn Arnold, M.D.
-
Jennifer A Atkins, M.D.
-
Christy Lynn Baginski, CRNA
-
Kristin Coil Bauman, CRNA
-
Jason Bennett, DO
-
Ellen A Buchler, FNP
-
Valda L Byrd, M.D.
-
Robert E Carmody, M.D.
-
Luis Raul Collazo, M.D.
-
Judy L Crockett, MA, LPC
-
Wayte Davill, MD
-
Jared Davis, D.O.
-
Jerry J Dawes, CRNA
-
Curtis J. Devries, CRNA
-
Meghan Noud Dopp, PA-C
-
Matthew James Dubiel, M.D.
-
James Michael Dunn, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000525 | MI | Part B Supplier - Clinic/Group Practice | 8325942535 |
Receives reassigned benefits from 186 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gaylord, MI; Petoskey, MI; Lewiston, MI; Indian River, MI; Grayling, MI; Elmira, MI |
National Provider Directory
- Tax ID family
- Munson Healthcare Otsego Memorial Hospital
Locations
829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930
617 N Court Ave
Gaylord, MI 49735
Phone (989) 731-9532
825 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7777
847 N Center Ave
Gaylord, MI 49735
Phone (517) 731-2443
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
850 N Center Ave
Gaylord, MI 49735
Interoperability endpoints
- sslivinski@direct.mhc.net
- lhabryl@direct.mhc.net
- elerche@direct.mhc.net
- aroth2@direct.mhc.net
- awilliams7@direct.mhc.net
- mmarquart@direct.mhc.net
- kriley3@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X | |||
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
829 N Center Ave
Gaylord, MI 49735
Mailing address
825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-7920
Other practice location 1
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000
Other names
- Munson Healthcare OMH Medical Group-Gaylord
- OMH MEDICAL GROUP
Other providers in Gaylord, MI
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Home Services
- Ashlyn Noel Muntin
- Blair A Murphy II
- Kimberly Murphy
All providers in Gaylord, MI · General Practice 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 Apr 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.