Provider Type Icon

MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST NPI 1922248772


NPI Information

NPI: 1922248772
Provider Name: MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D2164808

Address:
1675 LEAHY ST STE 324B
MUSKEGON, MI
ZIP 49442
Phone: (231) 672-8700
Get Directions

MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST is an internal medicine in Muskegon, MI. The provider is 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. MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST NPI is 1922248772. 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 324B
MUSKEGON, MI
ZIP 49442-500
Phone: (231) 672-8700

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 23D2164808 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2009 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
1207RC0000XInternal MedicineCardiovascular DiseaseMICHIGANNo
2207RG0100XInternal MedicineGastroenterologyNo
3207RI0200XInternal MedicineInfectious DiseaseNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6363LF0000XNurse PractitionerFamilyNo
7207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1700F10016OTHERMICHIGANBCBS
2MI1763OTHERMICHIGANMEDICARE PTAN
3500F10015OTHERMICHIGANBCBS MID-LEVELS

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.