HEALTHCARE MIDWEST PC (NPI# 1093936999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093936999 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE MIDWEST PC |
| Other Organization Name | LIFETIME WELLNESS IN INTERNAL MEDICINE & PEDIATRICS A DIVISION OF HEAL |
| Practice Address |
4613 W Main St Suite A Kalamazoo MI 49006-2645 |
| Mailing Address |
4341 S Westnedge Ave Suite 2205 Kalamazoo MI 49008-3289 |
| Practice Telephone | 2694888672 |
| Practice Fax Number | 2694888673 |
| Mailing Telephone | 2693734646 |
| Mailing Fax Number | 2693737655 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MR. JAMES E MCKERNAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2693734646 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE MIDWEST, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS GRP PIN | 110C913020 | 01 |
| Other Name | Type Code |
|---|---|
| LifeTime Wellness in Internal Medicine & Pediatrics A Division of Heal | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518166842 | Healthcare Midwest PC | Internal Medicine | 601 John St, Suite M401, Kalamazoo, MI 49007-5341 | 2007-07-17 |
| 1376764241 | Healthcare Midwest PC | Nurse Anesthetist, Certified Registered | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2007-05-01 |
| 1992926877 | Healthcare Midwest PC | Orthopaedic Surgery | 601 John St, Suite M206b, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1245451129 | Healthcare Midwest PC | Surgery | 601 John St, Suite M283, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1306067285 | Healthcare Midwest PC | Internal Medicine | 601 John St, Suite M170, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1215158191 | Healthcare Midwest PC | Urology | 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1265653158 | Healthcare Midwest PC | Orthopaedic Surgery | 601 John St, Suite M230, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1285855189 | Healthcare Midwest PC | Otolaryngology | 601 John St, Suite M273, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1144375619 | Healthcare Midwest PC | Clinical Medical Laboratory | 601 John St, Suite M-170, Kalamazoo, MI 49007-5341 | 2007-01-24 |
| 1265513881 | Healthcare Midwest PC | Durable Medical Equipment & Medical Supplies | 485 Columbia Ave E, Suite 9, Battle Creek, MI 49015-4499 | 2006-10-18 |
| Street Address |
4613 W MAIN ST SUITE A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880200 | Joseph Williams | Physician Assistant | 4613 W Main St, Ste. B, Kalamazoo, MI 49006-2645 | 2005-06-13 |
| 1629697818 | Sheneeka Skinner | Registered Nurse | 4613 W Main St, Kalamazoo, MI 49006-2645 | 2020-04-08 |
| 1588928642 | Geneva Alincastre Sagun | Internal Medicine | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2012-07-03 |
| 1841371408 | Anitha Azhagiri | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-10-18 |
| 1548371339 | Jessica Wilson | Physician Assistant | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2006-08-31 |
| 1568491132 | Rebecca Lucile Schreiner | Internal Medicine | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2006-07-03 |
| 1609804715 | Jennifer Michelle Driscoll | Internal Medicine | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2006-06-29 |
| 1356379374 | Healthcare Midwest PC | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-29 |
| 1972546372 | Derek J Babin | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-14 |
| 1104866573 | Marc William Hinze | Physical Therapist | 4613 W Main St, Suite C, Kalamazoo, MI 49006-2645 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582372 | Home Visiting Doctors Association P.C. | Internal Medicine | 251 N Rose St Ste 218, Kalamazoo, MI 49007-3860 | 2019-11-14 |
| 1669022307 | Ivana Nyirenda | Internal Medicine | 109 Candlewyck Dr Apt 621, Kalamazoo, MI 49001-5435 | 2019-09-15 |
| 1477946184 | Christopher Brackshaw | Internal Medicine | 601 John St., Box Number 74, Kalamazoo, MI 49007 | 2015-03-05 |
| 1043639933 | Andrew Heisler | Internal Medicine | 601 John St Ste M-030, Kalamazoo, MI 49007-5341 | 2014-04-08 |
| 1376983205 | Christopher Foster Hanzaker | Internal Medicine | 601 John St Ste M-170a, Kalamazoo, MI 49007 | 2013-06-25 |
| 1679919724 | Ryan Daryl Melvin | Internal Medicine | 601 John St Ste 100, Kalamazoo, MI 49007 | 2013-05-16 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1154473635 | Venu Gourineni | Internal Medicine | 1722 Shaffer St Ste 1, Kalamazoo, MI 49048-1633 | 2007-01-17 |
| 1356436976 | Branko Grinfeld | Internal Medicine | 5943 Stadium Dr., Kalamazoo, MI 49009 | 2006-10-03 |
| 1962596502 | Rockelle Donishia Rogers | Internal Medicine | 117 W Paterson Street, Kalamazoo, MI 49007 | 2006-10-03 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.