Mercy Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MERCY MEDICAL GROUP

Practice address

2630 Union Lake Rd
Suite 100
Commerce Township, MI 48382-3582

Phone

(248) 360-1200

Fax

(248) 360-6182

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Weiner

Title

Ceo

Phone

(248) 858-3140

Specialties & licenses 2

Addresses

Tax ID family

Mercy Medical Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Medical Group

  • Nurse Practitioner
  • Rochester Hills, MI
  • NPI 1912045774
  NPD tax ID
• Mercy Medical Group

  • General Practice Dentistry
  • Pontiac, MI
  • NPI 1932219383
  NPD tax ID
• Mercy Medical Group-Pediatrics

  • Pediatrics Physician
  • Commerce Township, MI
  • NPI 1902908346
  NPD tax ID

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053352971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44428 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415009",
            "telephone_number": "248-858-6144",
            "fax_number": "248-858-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 UNION LAKE RD",
            "address_2": "SUITE 100",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823582",
            "telephone_number": "248-360-1200",
            "fax_number": "248-360-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-858-3140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Mayville
• Kelly Jayne McCarthy, NP
• Kara L McGahey, FNP-BC, RN
• Larissa Alexandra McMahon, D.C.
• Meijer Inc
• Mercy Medical Group-Pediatrics
• Salima Meskine, M.D.
• Dorothy Angela Mezza, R.PH.
• Mi Home Therapy Solutions LLC
• Amber Michalczak

• Internal Medicine Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.