Active NPI
Mercy Specialty Services
Doing business as Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY SPECIALTY SERVICES
- Doing business as
- Trinity Health Medical Group
- Practice address
- 1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444 - Phone
- (231) 672-6336
- Fax
- (231) 672-6335
- NPI assigned
- Jun 10, 2006
- Last updated
- Mar 5, 2026
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH PARTNERS
NPPES NPI Registry
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | MI | ||
| Internal Medicine Physician | 207R00000X | MI | Primary | |
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | MI | ||
| Pediatrics Physician | 208000000X | MI | ||
| Physician Assistant | 363A00000X | MI | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444
Mailing address
PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797
Other practice location 1
6401 Prairie St Ste 2300
Norton Shores, MI 49444-7842
Phone (231) 727-7928
Other practice location 2
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3883
Other practice location 3
1310 Wisconsin St Ste 200
Grand Haven, MI 49417-2472
Phone (616) 844-4790
Other names 2
- Trinity Health Medical Group
- Mercy General Specialty Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2163361 | Trinity Health Medical Group - Academic Geriatrics | Certificate of waiver | Mar 12, 2027 |
| 23D2164747 | Trinity Health Medical Group | Certificate of waiver | Apr 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- Mercy Hospital
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mercy Health Pharmacy Solutions
- Community/Retail Pharmacy
- Grand Rapids, MI
- NPI 1700321551
Member Of
Locations
1310 Wisconsin St
Ste 103
Grand Haven, MI 49417
Phone (616) 846-2640
1500 E Sherman Blvd
Ste 240
Muskegon, MI 49444
1675 Leahy St
Ste 215
Muskegon, MI 49442
Phone (231) 722-1031
1675 Leahy St
Ste 304B
Muskegon, MI 49442
Phone (231) 728-1695
1675 Leahy St
Ste 404B
Muskegon, MI 49442
Phone (231) 728-1695
1675 Leahy St
Ste 428
Muskegon, MI 49442
Phone (231) 672-3300
1675 Leahy St
Ste 428B
Muskegon, MI 49442
Phone (231) 672-3300
Practitioners & affiliated clinicians
Practitioners 155
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.
-
- Clinical Neuropsychologist
- Grand Rapids, MI
- NPI 1023326857
-
- Neuromusculoskeletal Medicine & OMM Physician
- Muskegon, MI
- NPI 1013907427
-
- Physician Assistant
- Okemos, MI
- NPI 1154200541
-
- Physician Assistant
- Grand Rapids, MI
- NPI 1386460350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1629010384",
"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": "606776982",
"telephone_number": "800-494-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 E SHERMAN BLVD STE 2400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "49444",
"telephone_number": "231-672-6336",
"fax_number": "231-672-6335"
}
],
"practiceLocations": [
{
"address_1": "6401 Prairie St Ste 2300",
"address_purpose": "LOCATION",
"city": "Norton Shores",
"state": "MI",
"postal_code": "494447842",
"country_code": "US",
"telephone_number": "231-727-7928",
"fax_number": "231-727-7844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 E Sherman Blvd",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441849",
"country_code": "US",
"telephone_number": "231-672-3883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 Wisconsin St Ste 200",
"address_purpose": "LOCATION",
"city": "Grand Haven",
"state": "MI",
"postal_code": "494172472",
"country_code": "US",
"telephone_number": "616-844-4790",
"fax_number": "616-844-4794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERCY SPECIALTY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
"enumeration_date": "2006-06-10",
"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": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mercy General Specialty Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Muskegon, MI
- Mercy Health Partners Sub-Specialty Services (Trinity Health Medical Group)
- Mercy Health Partners-Obstetrics and Gynecology Specialist (Trinity Health Medical Group Obstetrics & Gynecology - Hackley)
- Mercy Health Westshore Cardiology Services (Trinity Health Medical Group)
- Mercy Hospital - Muskegon SMHC (MHP - Mercy Campus)
- Mercy Physician Network
- Mercy Urgent Care
- Mercy Urgent Care
- Mercy Women's Health Services (Trinity Health Medical Group Obstetrics and Gynecology Hackley)
- Mary E Meredith, MSW
- Glenn E Merz, MD
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.
- 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.