Individual provider Active NPI

Marson Ma III, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1619317393
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301103797 Issued in MI
Practice address
22101 Moross Rd
Detroit, MI 48236-2148
Phone
(313) 343-3400
Fax
(313) 343-7620
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301103797 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X 4301103797 MI
Emergency Medicine Physician 207P00000X 5315061677 MI

Addresses

Primary practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-3400

Other practice location 1

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (947) 523-4316

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mma3526084@epic00.corewelldirect.org

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
I20161202000287 MI Practitioner - Emergency Medicine 5395034722 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-0104

4851 E Pickard St
Suite 1000
Mt Pleasant, MI 48858-2041
Phone (989) 956-9069

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103797MIMDEmergency Medicine Physician
5315061677MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Henry Ford Health St. John Hospital Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Aug 15, 2024 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2017 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Mar 1, 2026 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Dec 2, 2016 Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Aug 15, 2024 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Alpena Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Aug 15, 2024 Accepting new patients
Mymichigan Medical Center West Branch Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Dec 2, 2016 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Aug 15, 2024 Accepting new patients
Mymichigan Medical Center Alma Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: mma3526084@epic00.corewelldirect.org
  • Direct secure messaging: mma156624@mymichiganhealth.midirect.net

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1619317393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-3400",
            "fax_number": "313-343-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-3400",
            "fax_number": "313-343-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521006",
            "country_code": "US",
            "telephone_number": "947-523-4316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "MARSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301103797",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301103797",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5315061677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mma3526084@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "39000 7 Mile Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481521006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.