MERCY HEALTH PARTNERS (NPI# 1801208087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801208087 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Other Organization Name | MERCY HEALTH PHYSICIAN PARTNERS LAKESHORE MEDICAL WHITEHALL |
| Practice Address |
905 E Colby St Whitehall MI 49461-1262 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2317285910 |
| Practice Fax Number | 2317285918 |
| Mailing Telephone | 2317285910 |
| Mailing Fax Number | 2317285918 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | BETTY ELLER (CREDENTIALING COORDINATOR) |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Health Physician Partners Lakeshore Medical Whitehall | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1407113434 | Mercy Health Partners | Nursing Facility/Intermediate Care Facility | 7148 Clovernook Ave, Cincinnati, OH 45231-5567 | 2012-04-16 |
| 1336764232 | Mercy Health Partners | Family Medicine | 7105 Broadmoor Ave Se, Caledonia, MI 49316-9510 | 2020-06-16 |
| 1700421757 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1699310649 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1598213241 | Mercy Health Partners | Occupational Therapist | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2016-09-12 |
| 1730571100 | Mercy Health Partners | Prosthetic/Orthotic Supplier | 6401 Prairie St, Suite 2900, Norton Shores, MI 49444-7840 | 2015-02-23 |
| 1518385806 | Mercy Health Partners | Clinic/Center | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
| 1861810186 | Mercy Health Partners | Family Medicine | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HEALTH PARTNERS | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 |
| Ohio Business Entities | MERCY HEALTH PARTNERS | 2200 Jefferson Ave., 4th Fl, Toledo, OH 43604 |
| Street Address |
905 E COLBY ST |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912908997 | Jennifer J. Koetje | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2005-08-02 |
| 1861818379 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-03-07 |
| 1326463357 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-02-27 |
| 1932403037 | Desiree Lee Elliot | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2011-01-04 |
| 1336385996 | Lakeshore Community Hospital, Inc. | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-31 |
| 1629214739 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-18 |
| 1619128873 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-10-07 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1346455888 | Hpcn | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-05-10 |
| 1578602520 | Hackley Professional Pharmacy | Pharmacy | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1649388000 | Pitkin Rexall Drug Company | Pharmacy | 101 W Colby St, Whitehall, MI 49461-1014 | 2006-08-27 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1619344363 | Christie Phillips | Pharmacy Technician | 101 W Colby St, Whitehall, MI 49461-1014 | 2015-08-28 |
| Find all providers in zip 49461 | ||||
| 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 |
|---|---|---|---|---|
| 1982228870 | Alexandra Podlesny | Family Medicine | 1401 Fairmount St, Whitehall, PA 18052 | 2020-06-05 |
| 1851842819 | Josalyn Winnie-larie Boyles | Family Medicine | 2741 Macarthur Rd, Whitehall, PA 18052-3632 | 2016-10-14 |
| 1467800466 | Princy Ann Koshy | Family Medicine | 3691 Crescent Ct E Ste 201, Whitehall, PA 18052 | 2016-05-31 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1770502932 | Health Care Associates, P.C. | Family Medicine | 5507 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-19 |
| 1104850734 | Narien K Grover | Family Medicine | 1401 Fairmont St, Whitehall, PA 18052-6051 | 2006-07-10 |
| 1508895186 | Louis Spikol | Family Medicine | 5505 Macarthur Rd, Whitehall, PA 18052-1605 | 2006-07-03 |
| 1659358034 | Edward John Haberern | Family Medicine | 4205 Lehigh St, Whitehall, PA 18052-1424 | 2005-12-28 |
| 1346238433 | Max Linus Crossman | Family Medicine | 65 Poultney St, Whitehall Family Medicine, Whitehall, NY 12887-1543 | 2005-10-12 |
| 1124013719 | Whitehall Medical Clinic | Family Medicine | 108 W 1st St, Whitehall, MT 59759-0339 | 2005-09-20 |
| Find all providers in WHITEHALL | ||||
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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.