MERCY PHYSICIAN NETWORK (NPI# 1023056744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023056744 |
| Entity Type | Organization |
| Organization Name | MERCY PHYSICIAN NETWORK |
| Other Organization Name | MERCY GENERAL PHYSICIAN NETWORK |
| Practice Address |
2006 Holton Rd Muskegon MI 49445 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2316723333 |
| Mailing Telephone | 2316722120 |
| Mailing Fax Number | 2317285981 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MICHELLE LOHMAN (REG DIR PHYS REV CYCLE) |
| Authorized Official Telephone | 2316722156 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MI | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy General Physician Network | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1778 Sanford St, Muskegon, MI 494412537 | 2317274444 | 2317274451 |
| 6207 Harvey St Ste A, Norton Shores, MI 494447861 | 2316722230 | 2316722231 |
| 1675 Leahy St Ste 201a, Muskegon, MI 494425542 | 2316727800 | 2316727801 |
| 1150 E Sherman Blvd Ste 1100, Muskegon, MI 494444607 | 2316722203 | 2316722992 |
| 3535 Park St Ste 110, Norton Shores, MI 494443795 | 2316723155 | 2316723157 |
| 601 W Savidge St, Spring Lake, MI 494561620 | 2316723100 | 2316723102 |
| 3443 Farr Rd, Fruitport, MI 494158779 | 2316722900 | 2316722901 |
| 1150 E Sherman Blvd Ste 1175, Muskegon, MI 494441885 | 2316726740 | 2316726749 |
| 1675 Leahy St Ste 301a, Muskegon, MI 494425543 | 2317285000 | 2317285041 |
| 3587 Henry St Ste 200, Norton Shores, MI 494416732 | 2316726700 | 2316726749 |
| 1909 Ruddiman Dr, Muskegon, MI 494453147 | 2316727466 | 2317449027 |
| 2006 Holton Rd, Muskegon, MI 494451505 | 2316723333 | 2316726520 |
| 6401 Prairie St Ste 2800, Norton Shores, MI 494447841 | 2317247848 | 2317247850 |
| 6401 Prairie St Ste 2600, Norton Shores, MI 494447842 | 2317277900 | 2317277914 |
| 221 S Quarterline Rd, Muskegon, MI 494421432 | 2316727180 | 2316727181 |
| 1310 Wisconsin St Ste 100, Grand Haven, MI 494172472 | 6168444701 | 6168471863 |
| 1310 Wisconsin St Ste 103, Grand Haven, MI 494172472 | 6168462640 | 6168463100 |
| 1310 Wisconsin St Ste 301, Grand Haven, MI 494172472 | 6168471860 | 6168444527 |
| 15151 Stanton St, West Olive, MI 494608543 | 6162961020 | 6162961030 |
| 1223 Mercy Dr, Muskegon, MI 494441829 | 2316723177 | 2316723178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1639502701 | Mercy Physician Network | Physician Assistant | 3443 Farr Rd, Fruitport, MI 49415-8779 | 2013-08-13 |
| 1184977811 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2012-10-18 |
| Street Address |
2006 HOLTON RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854177 | Saundra L Blanchard | Family Medicine | 2006 Holton Rd, Muskegon, MI 49445 | 2005-07-07 |
| 1497188668 | Brooke Muzio Cudney | Nurse Practitioner | 2006 Holton Rd, Muskegon, MI 49445-1505 | 2013-08-12 |
| 1881645513 | Tina Louise Tanner | Family Medicine | 2006 Holton Rd, Muskegon, MI 49445-1505 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485398 | Hackley Community Care Center Inc | Family Medicine | 481 S Wolf Lake Rd Ste A, Muskegon, MI 49442-3033 | 2018-01-17 |
| 1306083050 | Gregory Theophill Sobczak | Family Medicine | 1327 Meadowview Dr, Muskegon, MI 49441-7011 | 2009-01-17 |
| 1952482424 | David Streeter | Family Medicine | 1710 Grevel Ct, Muskegon, MI 49444-7729 | 2006-10-18 |
| 1780779298 | Erwin Leroy Grasman | Family Medicine | 420 Whitehall Rd, Muskegon, MI 49445 | 2006-10-03 |
| 1770687089 | Ruth A Walkotten | Family Medicine | 2947 Russell Rd, Muskegon, MI 49445 | 2006-09-08 |
| 1407870009 | Homebound Wellness Solutions, P.C. | Family Medicine | 5828 Jefferson Ave, Muskegon, MI 49442-1958 | 2006-07-27 |
| 1861426348 | Thomas Lee Watkins | Family Medicine | 855 Oakridge Rd., Muskegon, MI 49441-4023 | 2006-07-10 |
| 1952347262 | Fred R Rollins | Family Medicine | 1790 Oak Ave, Muskegon, MI 49442-2407 | 2006-06-22 |
| 1992749014 | Hpcn | Family Medicine | 6401 Prairie Street, Suite 2600, Muskegon, MI 49444 | 2006-06-16 |
| 1669411088 | Branden Bruhn | Family Medicine | 1864 Lakeshore Drive, Muskegon, MI 49441 | 2006-06-05 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.