NPIMap

Organization Active NPI

Mercy Women's Health Services

Doing business as Trinity Health Medical Group Obstetrics and Gynecology Hackley

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1467476143
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MERCY WOMEN'S HEALTH SERVICES
Doing business as
Trinity Health Medical Group Obstetrics and Gynecology Hackley
Practice address
1675 Leahy St Ste 201a
Muskegon, MI 49442-5542
Phone
(231) 672-6600
Fax
(231) 727-4691
NPI assigned
Jul 27, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X MI
Obstetrics & Gynecology Physician 207V00000X MI Primary

Addresses

Primary practice location

1675 Leahy St Ste 201a
Muskegon, MI 49442-5542

Mailing address

PO Box 776982
Chicago, IL 60677-1847
Phone (800) 494-5797

Other names 2

  • Trinity Health Medical Group Obstetrics and Gynecology Hackley Doing business as
  • Mercy General Women's Health Services Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
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 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000453 MI Part B Supplier - Clinic/Group Practice 9133171358 Receives reassigned benefits from 23 practitioners
Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory
Part of
Mercy Hospital Muskegon

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1675 Leahy St
Ste 309
Muskegon, MI 49442

1675 Leahy St
Ste 311A
Muskegon, MI 49442
Phone (231) 728-5600

1675 Leahy St
Ste 311B
Muskegon, MI 49442

1828 Oak Ave
Muskegon, MI 49442
Phone (231) 672-6209

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1467476143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771847",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "231-672-6600",
            "fax_number": "231-727-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY WOMEN'S HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2006-07-27",
        "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "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": "Trinity Health Medical Group Obstetrics and Gynecology Hackley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy General Women's Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muskegon, MI

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.

Verify at the official NPI Registry.