HEALTHCARE MIDWEST PC (NPI# 1285855189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285855189 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE MIDWEST PC |
| Other Organization Name | HEALTHCARE MIDWEST ENT HEAD & NECK SURGERY CARE |
| Practice Address |
601 John St Suite M273 Kalamazoo MI 49007-5341 |
| Mailing Address |
4341 S Westnedge Ave Suite 2205 Kalamazoo MI 49008-3289 |
| Practice Telephone | 2693810180 |
| Practice Fax Number | 2693817347 |
| 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 | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS GRP PIN | 040C910710 | 01 |
| Other Name | Type Code |
|---|---|
| HealthCare Midwest ENT Head & Neck Surgery Care | 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 |
| 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 M273 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154359149 | Ely Shapiro | Otolaryngology | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2006-06-29 |
| 1952347155 | Christopher Perry Smith | Otolaryngology | 501 South Drake Road, Kalamazoo, MI 49009-3234 | 2006-06-22 |
| 1023085784 | Hugo K Roesler | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2006-03-01 |
| 1578163820 | Lauren Vernice Oliver | Otolaryngology | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2020-10-27 |
| 1225352792 | Corbin Draper Sullivan | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2010-03-26 |
| 1699710566 | Leslie Steven Szeles | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2006-06-17 |
| 1801837232 | David A Milko | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2006-06-09 |
| 1871532705 | Cecilia Marie Prophit | Otolaryngology | 601 John St, Suite M273, Kalamazoo, MI 49007-5341 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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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.