MERCY SPECIALTY SERVICES (NPI# 1629010384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629010384 |
| Entity Type | Organization |
| Organization Name | MERCY SPECIALTY SERVICES |
| Other Organization Name | MERCY GENERAL SPECIALTY SERVICES |
| Practice Address |
1150 E Sherman Blvd Ste 2400 Muskegon MI 49444 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2316726336 |
| Practice Fax Number | 2316726335 |
| Mailing Telephone | 2316722120 |
| Mailing Fax Number | 2317285981 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | MICHELLE LOHMAN (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 2316722120 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | MI | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | MI | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | MI | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy General Specialty Services | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1310 Wisconsin St Ste 200, Grand Haven, MI 494172472 | 6168444790 | 6168444794 |
| 1500 E Sherman Blvd, Muskegon, MI 494441849 | 2316723883 | |
| 6401 Prairie St Ste 2300, Norton Shores, MI 494447842 | 2317277928 | 2317277844 |
| 1778 Sanford St, Muskegon, MI 494412537 | 2317275211 | 2317274571 |
| Street Address |
1150 E SHERMAN BLVD STE 2400 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912490905 | Mark David Braden Jr. | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2018-06-13 |
| 1720513476 | Jessica Lynn Laviolette | Student in an Organized Health Care Education/Training Program | 1150 E Sherman Blvd Ste 2400, Mhpp- Osteopathic Manipulative Medicine, Muskegon, MI 49444-1886 | 2017-05-01 |
| 1902244833 | Jenna M Heinert | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2013-06-13 |
| 1982615357 | Amy L Dean | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444-1886 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1306224563 | Spectrum Health Primary Care Partners | Internal Medicine | 1845 Holton Rd, Muskegon, MI 49445-1531 | 2015-05-08 |
| 1558604306 | Lucas Donald-fred Watts | Internal Medicine | 1675 Leahy St Ste 324b, Muskegon, MI 49442 | 2013-03-30 |
| 1467639591 | Karen L Seaver Md Plc | Internal Medicine | 1325 Mercy Dr., Suite 2, Muskegon, MI 49444-1884 | 2008-01-31 |
| 1528185303 | Soaries Maxine Peterson | Internal Medicine | 2301 Peck St, Muskegon, MI 49444-1428 | 2007-03-25 |
| 1568536621 | Hpcn | Internal Medicine | 1715 Peck St, Muskegon, MI 49441-2507 | 2006-11-20 |
| 1841379260 | Ronald Craig Chusid | Internal Medicine | 1762 Oak Ave, Muskegon, MI 49442-2407 | 2006-11-05 |
| 1043234719 | Hpcn | Internal Medicine | 986 W Norton Ave, Muskegon, MI 49441-4106 | 2006-07-27 |
| 1649206228 | West Michigan Internal Medicine Plc | Internal Medicine | 1854 E Apple Ave, A & B, Muskegon, MI 49442-3886 | 2006-06-24 |
| 1093755167 | Bartholomew David Sak | Internal Medicine | 1560 E Sherman Blvd Ste 240, Muskegon, MI 49444 | 2006-06-07 |
| 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.