Individual provider Active NPI

Mary Dallman Boyer, MD

  • Emergency Medicine Physician
  • Muskegon, MI
National Provider Identifier
1396752218
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301055502 Issued in MI
Practice address
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Phone
(231) 733-1326
Fax
(231) 733-5212
NPI assigned
Aug 2, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301055502 MI Primary

Addresses

Primary practice location

1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833

Mailing address

1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

Other practice location 1

1445 Sheldon Rd Ste 200
Grand Haven, MI 49417-2479
Phone (616) 296-9100

Other identifiers 1

IdentifierTypeStateIssuer
010041818OtherMIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000078 MI Practitioner - Emergency Medicine 7719087691 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Medicine and Surgery, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salubrious Health PLLCGroup PAC ID 6507225992, 10 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

91 Douglas Ave
Suite 110
Holland, MI 49424-2183
Phone (616) 298-8124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301055502MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Michigan Emergency Specialists, PLLC Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Feb 9, 2026 Accepting new patients
Lake Michigan Observation Services PLLC CurrentSince Jan 1, 2022 Accepting new patients
Salubrious Health PLLC CurrentSince Sep 1, 2025 Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Feb 9, 2026 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients

Locations

1445 Sheldon Rd
Ste 200
Grand Haven, MI 49417
Phone (616) 846-1860

91 Douglas Ave
Ste 110
Holland, MI 49424
Phone (616) 298-8124

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1396752218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MERCY DR STE 100",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441833",
            "telephone_number": "231-733-1326",
            "fax_number": "231-733-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MERCY DR STE 100",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441833",
            "telephone_number": "231-733-1326",
            "fax_number": "231-733-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Sheldon Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494172479",
            "country_code": "US",
            "telephone_number": "616-296-9100",
            "fax_number": "616-296-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MARY",
        "middle_name": "DALLMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301055502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010041818",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.