Mercy Physician Network
NPI 1639502701ActiveOrganization· Family Medicine· Fruitport, MI
Family Medicine in Fruitport, Michigan, registered in NPPES in August 2013, part of Mercy Health Partners. The authorized official on file is Michelle Lohman, Regional Director Phy Rev Cycle.
Overview
| NPI | 1639502701 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Health Partners |
| NPI issued | Aug 13, 2013 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | MI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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