NPIMap

Organization Active NPI

Mercy Physician Network

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1023056744
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY PHYSICIAN NETWORK
Practice address
2006 Holton Rd
Muskegon, MI 49445
Phone
(231) 672-3333
NPI assigned
Jun 3, 2006
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Gusho
Title
Chief Financial Officer
Phone
(734) 398-0642

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MI Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MI
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X MI
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X MI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X MI

Addresses

Primary practice location

2006 Holton Rd
Muskegon, MI 49445

Mailing address

PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 672-2120

Other practice location 1

1909 Ruddiman Dr
Muskegon, MI 49445-3147
Phone (231) 672-7466

Other practice location 2

3587 Henry St Ste 200
Norton Shores, MI 49441-6732
Phone (231) 672-6700

Other practice location 3

1675 Leahy St Ste 301A
Muskegon, MI 49442-5543
Phone (231) 728-5000

Other practice location 4

6401 Prairie St Ste 2800
Norton Shores, MI 49444-7841
Phone (231) 724-7848

Other practice location 5

2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333

Other practice location 6

1150 E Sherman Blvd Ste 1175
Muskegon, MI 49444-1885
Phone (231) 672-6740

Other practice location 7

3443 Farr Rd
Fruitport, MI 49415-8779
Phone (231) 672-2900

Other practice location 8

1310 Wisconsin St Ste 301
Grand Haven, MI 49417-2472
Phone (616) 847-1860

Other practice location 9

1310 Wisconsin St Ste 100
Grand Haven, MI 49417-2472
Phone (616) 844-4701

Other practice location 10

1310 Wisconsin St Ste 103
Grand Haven, MI 49417-2472
Phone (616) 846-2640

Other practice location 11

221 S Quarterline Rd
Muskegon, MI 49442-1432
Phone (231) 672-7180

Other practice location 12

6401 Prairie St Ste 2600
Norton Shores, MI 49444-7842
Phone (231) 727-7900

Other practice location 13

15151 Stanton St
West Olive, MI 49460-8543
Phone (616) 296-1020

Other practice location 14

1223 Mercy Dr
Muskegon, MI 49444-1829
Phone (231) 672-3177

Other practice location 15

3535 Park St Ste 110
Norton Shores, MI 49444-3795
Phone (231) 672-3155

Other practice location 16

6207 Harvey St Ste A
Norton Shores, MI 49444-7861
Phone (231) 672-2230

Other practice location 17

1675 Leahy St Ste 201A
Muskegon, MI 49442-5542
Phone (231) 672-7800

Other practice location 18

1150 E Sherman Blvd Ste 1100
Muskegon, MI 49444-4607
Phone (231) 672-2203

Other practice location 19

601 W Savidge St
Spring Lake, MI 49456-1620
Phone (231) 672-3100

Other practice location 20

1778 Sanford St
Muskegon, MI 49441-2537
Phone (231) 727-4444

Other names 1

  • Mercy General Physician Network Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040308000687 MI Part B Supplier - Clinic/Group Practice 8921996307 Receives reassigned benefits from 158 practitioners
1 other NPI on this enrollment
Practice locations: Muskegon, MI; West Olive, MI; Spring Lake, MI; Norton Shores, MI; Grand Haven, MI; Fruitport, MI
O20040923000255 MI Part B Supplier - Clinic/Group Practice 8921996307 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Fruitport, MI; Muskegon, MI; Norton Shores, MI; Spring Lake, MI; West Olive, MI
O20041117000331 MI Part B Supplier - Clinic/Group Practice 8921996307 Receives reassigned benefits from 21 practitioners
1 other NPI on this enrollment
Practice locations: Spring Lake, MI; West Olive, MI; Norton Shores, MI; Muskegon, MI; Fruitport, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Ctr Forc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1310 Wisconsin St
Fl 3
Grand Haven, MI 49417

1150 E Sherman Blvd
Ste 1150
Muskegon, MI 49444

1325 Mercy Dr
Ste B
Muskegon, MI 49444

1560 E Sherman Blvd
Ste 145
Muskegon, MI 49444
Phone (231) 672-3746

1325 Mercy Dr
Ste 1
Muskegon, MI 49444

1560 E Sherman Blvd
Ste 1175
Muskegon, MI 49444

1675 Leahy St
Ste 2800
Muskegon, MI 49442

1827 W Sherman Blvd
Norton Shores, MI 49441
Phone (231) 755-4151

18511 171st Ave
Spring Lake, MI 49456
Phone (616) 296-7861

601 W Savidge St
Spring Lake, MI 49456
Phone (231) 672-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 202

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1023056744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431848",
            "telephone_number": "231-672-2120",
            "fax_number": "231-728-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOLTON RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-672-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Ruddiman Dr",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494453147",
            "country_code": "US",
            "telephone_number": "231-672-7466",
            "fax_number": "231-744-9027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3587 Henry St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494416732",
            "country_code": "US",
            "telephone_number": "231-672-6700",
            "fax_number": "231-672-6749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Leahy St Ste 301A",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425543",
            "country_code": "US",
            "telephone_number": "231-728-5000",
            "fax_number": "231-728-5041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Prairie St Ste 2800",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447841",
            "country_code": "US",
            "telephone_number": "231-724-7848",
            "fax_number": "231-724-7850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Holton Rd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494451505",
            "country_code": "US",
            "telephone_number": "231-672-3333",
            "fax_number": "231-672-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 E Sherman Blvd Ste 1175",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441885",
            "country_code": "US",
            "telephone_number": "231-672-6740",
            "fax_number": "231-672-6749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3443 Farr Rd",
            "address_purpose": "LOCATION",
            "city": "Fruitport",
            "state": "MI",
            "postal_code": "494158779",
            "country_code": "US",
            "telephone_number": "231-672-2900",
            "fax_number": "231-672-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Wisconsin St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172472",
            "country_code": "US",
            "telephone_number": "616-847-1860",
            "fax_number": "616-844-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Wisconsin St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172472",
            "country_code": "US",
            "telephone_number": "616-844-4701",
            "fax_number": "616-847-1863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Wisconsin St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172472",
            "country_code": "US",
            "telephone_number": "616-846-2640",
            "fax_number": "616-846-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 S Quarterline Rd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494421432",
            "country_code": "US",
            "telephone_number": "231-672-7180",
            "fax_number": "231-672-7181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6401 Prairie St Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447842",
            "country_code": "US",
            "telephone_number": "231-727-7900",
            "fax_number": "231-727-7914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15151 Stanton St",
            "address_purpose": "LOCATION",
            "city": "West Olive",
            "state": "MI",
            "postal_code": "494608543",
            "country_code": "US",
            "telephone_number": "616-296-1020",
            "fax_number": "616-296-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Mercy Dr",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441829",
            "country_code": "US",
            "telephone_number": "231-672-3177",
            "fax_number": "231-672-3178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Park St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494443795",
            "country_code": "US",
            "telephone_number": "231-672-3155",
            "fax_number": "231-672-3157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6207 Harvey St Ste A",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494447861",
            "country_code": "US",
            "telephone_number": "231-672-2230",
            "fax_number": "231-672-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Leahy St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494425542",
            "country_code": "US",
            "telephone_number": "231-672-7800",
            "fax_number": "231-672-7801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 E Sherman Blvd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494444607",
            "country_code": "US",
            "telephone_number": "231-672-2203",
            "fax_number": "231-672-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Savidge St",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "MI",
            "postal_code": "494561620",
            "country_code": "US",
            "telephone_number": "231-672-3100",
            "fax_number": "231-672-3102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1778 Sanford St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494412537",
            "country_code": "US",
            "telephone_number": "231-727-4444",
            "fax_number": "231-727-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "734-398-0642"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy General Physician Network",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mercy General Physician Network",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.