Mercy Professional Services

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MERCY PROFESSIONAL SERVICES

Practice address

400 Hobart St
Cadillac, MI 49601-2331

Phone

(231) 876-7200

NPI assigned

Sep 13, 2013

Organization subpart

Yes

Parent organization

CHE TRINITY-HEALTH INCAs reported in NPPES

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

Authorized official

Name

John L. Macleod, CEO

Title

Ceo

Phone

(231) 876-7200

Specialties & licenses 2

Addresses

Other names 1

• Mercy Cadillac Anesthesia Doing business as

Locations

Practitioners 2

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

• John P Ebersole, CRNA

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1568487783
  NPD (past)
• Evelyn Mahar, CRNA

  • Certified Registered Nurse Anesthetist
  • Kensington, MD
  • NPI 1104880491

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1033544614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PROFESSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHE TRINITY-HEALTH INC",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-876-7200",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Cadillac Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Hospital Cadillac
• Mercy Hospital Cadillac
• Mercy Hospital Cadillac Orthopedics
• Mercy North Homecare & Hospice
• Mercy North Homecare & Hospice
• Mercy Professional Services
• Mercy Professional Services
• Mercy Professional Services
• Mercy Professional Services
• Mercy Surgical Care

• Anesthesiology Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.