Active NPI
Mercy Physician Network
- Family Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MERCY PHYSICIAN NETWORK
- Practice address
- 2006 Holton Rd
Muskegon, MI 49445 - Phone
- (231) 672-3333
- NPI assigned
- Jun 3, 2006
- Last updated
- Mar 5, 2026
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH PARTNERS
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MI | Primary | |
| Internal Medicine Physician | 207R00000X | MI | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MI | ||
| Physician Assistant | 363A00000X | MI | ||
| Nurse Practitioner | 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
6401 Prairie St Ste 2600
Norton Shores, MI 49444-7842
Phone (231) 727-7900
Other practice location 2
221 S Quarterline Rd
Muskegon, MI 49442-1432
Phone (231) 672-7180
Other practice location 3
1310 Wisconsin St Ste 103
Grand Haven, MI 49417-2472
Phone (616) 846-2640
Other practice location 4
1310 Wisconsin St Ste 100
Grand Haven, MI 49417-2472
Phone (616) 844-4701
Other practice location 5
1310 Wisconsin St Ste 301
Grand Haven, MI 49417-2472
Phone (616) 847-1860
Other practice location 6
3443 Farr Rd
Fruitport, MI 49415-8779
Phone (231) 672-2900
Other practice location 7
1150 E Sherman Blvd Ste 1175
Muskegon, MI 49444-1885
Phone (231) 672-6740
Other practice location 8
2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333
Other practice location 9
6401 Prairie St Ste 2800
Norton Shores, MI 49444-7841
Phone (231) 724-7848
Other practice location 10
1675 Leahy St Ste 301A
Muskegon, MI 49442-5543
Phone (231) 728-5000
Other practice location 11
3587 Henry St Ste 200
Norton Shores, MI 49441-6732
Phone (231) 672-6700
Other practice location 12
1909 Ruddiman Dr
Muskegon, MI 49445-3147
Phone (231) 672-7466
Other practice location 13
1778 Sanford St
Muskegon, MI 49441-2537
Phone (231) 727-4444
Other practice location 14
15151 Stanton St
West Olive, MI 49460-8543
Phone (616) 296-1020
Other practice location 15
1223 Mercy Dr
Muskegon, MI 49444-1829
Phone (231) 672-3177
Other practice location 16
3535 Park St Ste 110
Norton Shores, MI 49444-3795
Phone (231) 672-3155
Other practice location 17
6207 Harvey St Ste A
Norton Shores, MI 49444-7861
Phone (231) 672-2230
Other practice location 18
601 W Savidge St
Spring Lake, MI 49456-1620
Phone (231) 672-3100
Other practice location 19
1150 E Sherman Blvd Ste 1100
Muskegon, MI 49444-4607
Phone (231) 672-2203
Other practice location 20
1675 Leahy St Ste 201A
Muskegon, MI 49442-5542
Phone (231) 672-7800
Other names 1
- Mercy General Physician Network
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 MI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Fruitport Family Medicine
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
O20040308000687, O20040923000255, O20041117000331
National Provider Directory
National Provider Directory- Part of
- Mercy Hospital
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Member Of
-
dba Mercy Health Pharmacy Solutions
- Community/Retail Pharmacy
- Grand Rapids, MI
- NPI 1700321551
Member Of
Locations
1310 Wisconsin St
Fl 3
Grand Haven, MI 49417
1310 Wisconsin St
Ste 301
Grand Haven, MI 49417
Phone (616) 296-1550
1150 E Sherman Blvd
Ste 1125
Muskegon, MI 49444
Phone (231) 672-6740
1325 Mercy Dr
Ste 1
Muskegon, MI 49444
1325 Mercy Dr
Ste B
Muskegon, MI 49444
1560 E Sherman Blvd
Ste 1175
Muskegon, MI 49444
1560 E Sherman Blvd
Ste 145
Muskegon, MI 49444
Phone (231) 672-3746
1560 E Sherman Blvd
Ste 250
Muskegon, MI 49444
Phone (231) 672-8145
1675 Leahy St
Ste 2800
Muskegon, MI 49442
1915 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
2006 Holton Rd
Ste 200
North Muskegon, MI 49445
Phone (231) 672-3300
3570 Henry St
Ste 210
Norton Shores, MI 49441
Phone (231) 672-7726
3570 Henry St
Ste 220
Norton Shores, MI 49441
Phone (231) 672-3155
3587 Henry St
Norton Shores, MI 49441
Phone (231) 672-6700
6207 Harvey St
Ste A
Norton Shores, MI 49444
Phone (231) 220-0500
18511 171st Ave
Spring Lake, MI 49456
Phone (616) 296-7861
15151 Stanton St
West Olive, MI 49460
Phone (616) 296-1020
Interoperability endpoints
- 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, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Norton Shores, MI
- NPI 1548236888
-
- Physician Assistant
- Norton Shores, MI
- NPI 1235692526
-
- Nurse Practitioner
- Spring Lake, MI
- NPI 1003640954
-
- Family Nurse Practitioner
- Norton Shores, MI
- NPI 1700663200
-
- Family Medicine Physician
- Norton Shores, MI
- NPI 1609443803
-
- Family Medicine Physician
- Ravenna, MI
- NPI 1164784724
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1861874190
-
- Internal Medicine Physician
- Muskegon, MI
- NPI 1437738580
-
- Professional Counselor
- Norton Shores, MI
- NPI 1851617708
-
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1992209522
-
- Family Medicine Physician
- West Olive, MI
- NPI 1023469590
-
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1033588629
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": "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": "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": "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": "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 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": "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": "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": "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": "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": "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": "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": "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": "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"
},
{
"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": "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": "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": "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"
}
],
"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
- Mercy Health Partners Obstetrics and Gynecology Specialist
- Mercy Health Partners Sub-Specialty Services (Trinity Health Medical Group)
- Mercy Health Partners-Obstetrics and Gynecology Specialist (Trinity Health Medical Group Obstetrics & Gynecology - Hackley)
- Mercy Health Westshore Cardiology Services (Trinity Health Medical Group)
- Mercy Hospital - Muskegon SMHC (MHP - Mercy Campus)
- Mercy Specialty Services (Trinity Health Medical Group)
- Mercy Urgent Care
- Mercy Urgent Care
- Mercy Women's Health Services (Trinity Health Medical Group Obstetrics and Gynecology Hackley)
- Mary E Meredith, MSW
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.