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Munson Medical Center

NPI 1194752345ActiveOrganization· Physician Assistant· Traverse City, MI

Physician Assistant in Traverse City, Michigan, registered in NPPES in June 2006. The authorized official on file is Ellen O. Smith, President Ambulatory Clinics.

Overview

NPI1194752345
StatusActive
Entity typeOrganization
NPI issuedJun 26, 2006
Last updated in NPPESSep 22, 2022
Certified by providerSep 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Traverse City

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