OrganizationActive
Munson Healthcare Charlevoix Hospital
NPI 1992074777 · Pediatrics Physician · Charlevoix, MI
Provider details
- NPI number
- 1992074777
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Munson Healthcare
- Organization subpart
- Yes
- Authorized official
- Mark Hepler, Cfo(231) 935-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14734 Park Ave
Charlevoix, MI 49720-1927
Phone: (231) 547-6554
Fax: (231) 547-1179
Approximate (ZIP-level) locationGet directions
Mailing address
14734 Park Ave
Charlevoix, MI 49720-1927
Other names (DBA / former)
- Doing business as
- Munson Healthcare Charlevoix Pediatrics
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.