BRONSON METHODIST HOSPITAL (NPI# 1215103312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215103312 |
| Entity Type | Organization |
| Organization Name | BRONSON METHODIST HOSPITAL |
| Practice Address |
820 John St 102 Kalamazoo MI 49001-2870 |
| Practice Telephone | 2693418938 |
| Practice Fax Number | 2693417556 |
| Mailing Telephone | 2693418938 |
| Mailing Fax Number | 2693417556 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MS. JUDY S KAMMER III (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 2693418938 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | Y |
| Parent Organization Name | BRONSON METHODIST HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 5601002577 | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1316305816 | Bronson Methodist Hospital | Orthopaedic Surgery | 601 John St, Suite M230, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1508224007 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M424, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1801298799 | Bronson Methodist Hospital | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2014-09-23 |
| 1891132908 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M-230, Kalamazoo, MI 49007-5341 | 2013-05-30 |
| 1275860819 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St, Box 67, Kalamazoo, MI 49007-5341 | 2009-11-03 |
| 1487726295 | Bronson Methodist Hospital | Physician Assistant | 601 John Street, Kalamazoo, MI 49007 | 2006-11-15 |
| 1104998913 | Bronson Methodist Hospital | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2006-11-15 |
| 1013089820 | Bronson Methodist Hospital | Nurse Practitioner | 5121 S Westnedge Ave, Portage, MI 49002-0404 | 2006-11-15 |
| 1710993357 | Bronson Methodist Hospital | Home Health | 6938 Elm Valley Dr, Kalamazoo, MI 49009-7447 | 2006-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONSON METHODIST HOSPITAL | 601 John St Ste E-012, Kalamazoo, MI 49007-5346 |
| Street Address |
820 JOHN ST 102 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104894179 | John Thomas Cerovski | Internal Medicine | 820 John St, Ste. 103, Kalamazoo, MI 49001-2870 | 2006-03-08 |
| 1184285280 | Lauren Alexandra Omler | Physical Therapist | 820 John St, Kalamazoo, MI 49001-2870 | 2019-06-28 |
| 1366825218 | Tiffany Vanderweele | Physical Therapist | 820 John St, Kalamazoo, MI 49001-2870 | 2015-07-09 |
| 1700194248 | John T. Cerovski, M.d., PC | Internal Medicine | 820 John St, Ste. 103, Kalamazoo, MI 49001-2870 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1831116441 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St, Kalamazoo, MI 49007-5341 | 2006-07-17 |
| 1568416311 | Ascension Borgess Hospital | General Acute Care Hospital | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2006-05-19 |
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|---|---|---|---|---|
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| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1912334756 | Mrinal Supriya | General Acute Care Hospital | 6697 Stillwell, West Bloomfield, MI 48322-1364 | 2013-10-10 |
| Find all providers with the same taxonomy | ||||
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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.