DR. WADE WEI KANG (NPI# 1164612453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164612453 |
Entity Type | Individual |
Full Name | DR. WADE WEI KANG |
Credential | M.D |
Practice Address |
601 John St Suite M-283a Kalamazoo MI 49007-5341 |
Practice Telephone | 2693497696 |
Practice Fax Number | 2694888313 |
Mailing Telephone | 2693497696 |
Mailing Fax Number | 2694888313 |
Enumeration Date | 2007-08-01 |
Last Update Date | 2020-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 4301106309 | MI | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MT 181967 | PA | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301106309 | MI | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
40725 | IA | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036125531 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 040113 | 05 | |
IN | 201007480B | 05 | |
NE | 10026291800 | 05 | |
IL | 036125531 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
363 Fremont St Ste 101, Battle Creek, MI 490173395 | 2692458350 |
Street Address |
601 JOHN ST SUITE M-283A |
City | KALAMAZOO |
State | MI |
Zip Code | 49007-5341 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122757 | Joan K. Slager | Advanced Practice Midwife | 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 | 2005-05-27 |
1841898780 | Alexandra Marie Christmas | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-13 |
1003423237 | Ochuko Andrew Oghor | Student in an Organized Health Care Education/Training Program | 601 John St, Kalamazoo, MI 49007-5341 | 2020-10-01 |
1710591680 | Marshe Suderman | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-09-08 |
1609485481 | Kristy Lynn Mumby | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2020-07-28 |
1407475700 | Bethany Hodges | Dietitian, Registered | 601 John St, Kalamazoo, MI 49007-5341 | 2020-04-16 |
1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
1639728272 | James Michael Curtis | Pharmacist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-06 |
1538716451 | Sheri Jones | Physical Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-26 |
1790332658 | Jill Marie Woodhams | Occupational Therapist | 601 John St, Kalamazoo, MI 49007-5341 | 2019-08-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
Find all providers in zip 49007 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821331687 | Satvik Jhamb | Surgery | 601 John St Ste M-460, Kalamazoo, MI 49007-5355 | 2013-03-30 |
1619135480 | Syed M.f. Alam | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2008-05-29 |
1235337726 | Daniel James Johnston | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-07-05 |
1588611750 | The Surgical Group of Sw Michigan PC | Surgery | 1535 Gull Rd, Suite 020, Kalamazoo, MI 49048-1650 | 2006-05-31 |
1659328508 | Sarat Kumar Vaddineni | Surgery | 601 John Street, Suite M-283, Kalamazoo, MI 49007 | 2006-05-27 |
1427014414 | John T Collins Jr. | Surgery | 1000 Oakland Dr, Kalamazoo, MI 49008 | 2006-04-26 |
1487619136 | Paragon Health, PC | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
1013972769 | Krishna Mohan Jain | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
1700841459 | John S Munn | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
1285698134 | Mark C Rummel | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-15 |
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.