Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin R Staley, DO

Individual provider Emergency Medicine Physician · NPI 1164044830

Justin R Staley, DO is an Emergency Medicine in Muskegon, Michigan. Graduated from Marian University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Grand River Emergency Medical Group PLC, a 42-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Marian University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1700 Clinton St
Muskegon, MI 49442-5502
Phone: (231) 726-3511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101026712 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164044830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 15, 2020
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address1675 Leahy St Ste 315a, Muskegon, MI 49442-5543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMARIAN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Grand River Emergency Medical Group Plc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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