Provider Type Icon

MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST NPI 1215255799


NPI Information

NPI: 1215255799
Provider Name: MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 23D2079605

Address:
1675 LEAHY ST STE 428B
MUSKEGON, MI
ZIP 49442
Phone: (231) 672-3300
Get Directions

MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST is an obstetrics gynecology in Muskegon, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MERCY HEALTH PARTNERS-OBSTETRICS AND GYNECOLOGY SPECIALIST NPI is 1215255799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1675 LEAHY ST STE 428B
MUSKEGON, MI
ZIP 49442-500
Phone: (231) 672-3300

The provider's authorized official is Betty Eller .
The authorized official title is Credentialing and has the following contact phone number (231) 672-2120.

The CLIA number assigned to this NPI record is 23D2079605 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 9/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyNo
2207VX0000XObstetrics & GynecologyObstetricsNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5367A00000XAdvanced Practice MidwifeNo
6207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.