Active NPI
Mark Travis Hemming, M.D.
- Emergency Medicine Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301106819
- Practice address
- 1105 Sixth St
Traverse City, MI 49684-2386 - Phone
- (231) 947-0673
- Fax
- (801) 740-2847
- NPI assigned
- Jun 27, 2012
- Last updated
- Jan 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36.138719 | IL | |
| Emergency Medicine Physician | 207P00000X | A136928 | CA | |
| Emergency Medicine Physician | 207P00000X | 4301106819 | MI | Primary |
Addresses
Primary practice location
1105 Sixth St
Traverse City, MI 49684-2386
Mailing address
801 S Garfield Ave # 242
Traverse City, MI 49686-3429
Phone (734) 834-2419
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other practice location 3
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other practice location 4
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-8507
Other practice location 5
825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhemming14198@sih.direct-ci.com | ||
| Direct Messaging Address | mhemming14198@sih.direct-ci.com | ||
| Direct Messaging Address | mhemming14198@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136928 | CA | MD | Emergency Medicine Physician |
| 36.138719 | IL | MD | Emergency Medicine Physician |
| 4301106819 | MI | MD | Emergency Medicine Physician |
| 136928 | CA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawk Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Northwestern Michigan Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Interlochen Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Northern Michigan Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Caberfae Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- mhemming14198@sih.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1336821495
-
- Emergency Medicine Physician
- Cadillac, MI
- NPI 1447932504
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Emergency Medicine Physician
- Sault Sainte Marie, MI
- NPI 1922105113
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1407110174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S GARFIELD AVE # 242",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863429",
"telephone_number": "734-834-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842386",
"telephone_number": "231-947-0673",
"fax_number": "801-740-2847"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"fax_number": "618-529-0524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171",
"fax_number": "618-351-4917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721",
"fax_number": "618-457-0469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201931",
"country_code": "US",
"telephone_number": "231-547-8507",
"fax_number": "801-740-2847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 N Center Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351592",
"country_code": "US",
"telephone_number": "989-731-2100",
"fax_number": "801-740-2847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEMMING",
"first_name": "MARK",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36.138719",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A136928",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301106819",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhemming14198@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhemming14198@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhemming14198@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.