Mark J Foreman, M.D.
Individual provider Active NPI Hospitalist Physician · Muskegon, MI
NPI 1467656272 · NPPES record last updated Apr 23, 2022
Key facts
- NPI
- 1467656272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 4301098069 (MI)
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49444-1849 - Phone
- (231) 672-3883
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of Southern California Keck School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Specialty Services
Practice addresses (Care Compare)
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3883
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- Mercy Health Lakeshore Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110718000070 | MI | Practitioner - Hospitalist |
6608044755 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301098069 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Internal Medicine | Current |
Accepting new patients |
| Mercy Specialty Services | Internal Medicine | Current |
Accepting new patients |
| Mercy Physician Network | Current |
Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients |
Locations
1560 E Sherman Blvd
Ste 240
Muskegon, MI 49444
Phone (231) 672-3883
1150 E Sherman Blvd
Ste 1100
Muskegon, MI 49444
Phone (231) 672-2203
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301098069 | MI | |
| Pediatrics Physician | 208000000X | 4301098069 | MI | |
| Hospitalist Physician | 208M00000X | 4301098069 | MI | Yes |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
1560 E Sherman Blvd Ste 240
Muskegon, MI 49444-1854
Phone (231) 672-3883
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mforeman27901@direct.trinity-health.org | Direct |
NPI Registry JSON
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650672000000",
"number": "1467656272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E SHERMAN BLVD STE 240",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441854",
"telephone_number": "231-672-3883",
"fax_number": "231-672-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SHERMAN BLVD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441849",
"telephone_number": "231-672-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "MARK",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301098069",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301098069",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301098069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mforeman27901@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Specialist in Hospital Medicine",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "1500 E Sherman Blvd",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Muskegon, MI
- Kathryn Forbes
- Heather Lee Force
- Amy Ford
- Mackenzie Fay Ford
- Rhianna Ford
- Catherine Randell Forrest
- Angela S Forrester
- Patsy J Fortenbacher
- Courtney Lynn Fortin
- Jonathan Robert Fortney
All providers in Muskegon, MI · Hospitalist Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.