HEALTHCARE MIDWEST PC (NPI# 1245451129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245451129 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE MIDWEST PC |
| Other Organization Name | HEALTHCARE MIDWEST GENERAL & VASCULAR SURGERY |
| Practice Address |
601 John St Suite M283 Kalamazoo MI 49007-5341 |
| Mailing Address |
4341 S Westnedge Ave Suite 2205 Kalamazoo MI 49008-3289 |
| Practice Telephone | 2693497696 |
| Practice Fax Number | 2693430610 |
| 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 |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS GRP PIN | 020C91020 | 01 |
| Other Name | Type Code |
|---|---|
| HealthCare Midwest General & Vascular Surgery | 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 |
| 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 |
| 1093936999 | Healthcare Midwest PC | Pediatrics | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 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 |
601 JOHN ST SUITE M283 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1528462959 | Richard Wilding Hodgman | Surgery | 1020 Cohasset Ln, Kalamazoo, MI 49008-2327 | 2014-10-14 |
| 1376953661 | Jessica Pochedly | Surgery | 601 John St Ste M-283a, Kalamazoo, MI 49007-5341 | 2014-05-07 |
| 1386910263 | Julia Miladore | Surgery | 1535 Gull Rd Ste 020, Kalamazoo, MI 49048-1626 | 2012-03-26 |
| 1558660803 | Neeta Karani | Surgery | 601 John St Ste M-460, Kalamazoo, MI 49007-5355 | 2011-03-24 |
| 1093035008 | Jason Thomas Ryan | Surgery | 1535 Gull Rd Ste 20, Kalamazoo, MI 49048-1626 | 2010-06-02 |
| 1407083595 | Mika Alicia-brooks Reschke | Surgery | 601 John St Ste M-515, Kalamazoo, MI 49007-5352 | 2009-06-16 |
| 1891905196 | Indudhar S Hiremath | Surgery | 4618 Grand Prairie Rd, Kalamazoo, MI 49006-1348 | 2007-05-23 |
| 1093800286 | Kenley Burkhart | Surgery | 1717 Shaffer Road, North Professional #229, Kalamazoo, MI 49048 | 2006-10-04 |
| 1932210713 | Jon C Walsh | Surgery | 601 John St # 67, Kalamazoo, MI 49007-5341 | 2006-08-31 |
| 1942249727 | Mark A Dittenbir | Surgery | 601 John St Ste M283a, Kalamazoo, MI 49007-5341 | 2006-06-06 |
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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.