PROMED HEALTHCARE (NPI# 1316129042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316129042 |
| Entity Type | Organization |
| Organization Name | PROMED HEALTHCARE |
| Practice Address |
1521 Gull Rd Kalamazoo MI 49048-1640 |
| Mailing Address |
5943 Stadium Dr Suite 3 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2692267000 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | EDWARD M MILLERMAIER (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2695522922 |
| Authorized Official Credential | MD, CMO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386702173 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 4200 S Westnedge Ave, Kalamazoo, MI 49008-3208 | 2006-12-05 |
| 1285875013 | Promed Healthcare | Chiropractor | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2009-03-06 |
| 1154451250 | Promed Healthcare | Advanced Practice Midwife | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2007-03-07 |
| 1568592038 | Promed Healthcare | Counselor | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-03-06 |
| 1487708830 | Promed Healthcare | Clinic/Center | 671 Allegan St, Ste A, Plainwell, MI 49080-1685 | 2007-01-23 |
| 1316099302 | Promed Healthcare | Clinic/Center | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2007-01-18 |
| 1124189410 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-12-12 |
| 1962563254 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1701 Gull Rd, Kalamazoo, MI 49048-1609 | 2006-12-12 |
| 1750442042 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2006-12-12 |
| 1245398031 | Promed Healthcare | Durable Medical Equipment & Medical Supplies | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2006-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ProMed Healthcare Services, LLC | Po Box 2789, Lakeland, FL 33806 |
| New York State Corporations | PROMED HEALTHCARE TECHNOLOGIES, LLC | 555 Pleasantville Road, S-103, Briarcliff Manor, New York 10510 |
| Street Address |
1521 GULL RD |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033939 | Midwestern Pathology, PC | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2005-06-17 |
| 1164038667 | Emily Thurnherr | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-09-20 |
| 1578180899 | Ceara Elaina Sibley | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-07-02 |
| 1770108508 | Emily Krumbach | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-08 |
| 1700400686 | Emily Mccollum | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-05 |
| 1316568850 | Adraya Gabrielle Garrett | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-05-06 |
| 1114551272 | Brandy Lee Ford | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-27 |
| 1689206120 | Olivia Foote | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2020-02-12 |
| 1962035402 | Shannon Nicole Hepler | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-12 |
| 1346887130 | Bethany Paige Flanagan | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732465 | Melanie A Clark | Psychiatry & Neurology | 930 Southern Ave, Kalamazoo, MI 49001-4337 | 2015-02-11 |
| 1619111929 | Rajiv Tandon | Psychiatry & Neurology | 1717 Shaffer St Ste 010, Kalamazoo, MI 49048-1623 | 2009-04-30 |
| 1821274176 | John S Pai | Psychiatry & Neurology | 1569 Skylark Ct, Kalamazoo, MI 49009-2808 | 2008-01-17 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1699833897 | Aries Rae Stern | Psychiatry & Neurology | 6146 West Main St Suite B, Kalamazoo, MI 49009 | 2006-12-04 |
| 1942376710 | Marilyn Mittenthal | Psychiatry & Neurology | 1337 E Crooked Lake Dr, Kalamazoo, MI 49009 | 2006-11-25 |
| 1871515106 | Thomas H. Van Doren | Psychiatry & Neurology | 5320 Holiday Ter Ste E, Kalamazoo, MI 49009-2100 | 2006-07-24 |
| 1285655613 | Sarat Babu Kondapaneni | Psychiatry & Neurology | 1312 Oakland Dr, Kalamazoo Psychiatric Hospital, Kalamazoo, MI 49008-1205 | 2006-07-21 |
| 1841221173 | John Joseph Taglia | Psychiatry & Neurology | 1312 Oakland Avenue, Kalamazoo, MI 49008 | 2006-07-05 |
| 1316976608 | Gopal Bedi | Psychiatry & Neurology | 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 | 2006-07-01 |
| 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.