ASCENSION MEDICAL GROUP PROMED (NPI# 1437201811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437201811 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP PROMED |
| Practice Address |
3025 Gull Rd Ste 250 Kalamazoo MI 49048-1281 |
| Mailing Address |
1717 Shaffer St Ste 2 Kalamazoo MI 49048-1623 |
| Practice Telephone | 2692265927 |
| Mailing Telephone | 2695522836 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | DAMON D. SORENSEN (CFO) |
| Authorized Official Telephone | 2692265607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM | 160C910900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538299631 | Ascension Medical Group Promed | Internal Medicine | 7895 Currier Dr, Portage, MI 49002-4314 | 2007-03-07 |
| 1063542165 | Ascension Medical Group Promed | Counselor | 7895 Currier Dr, Portage, MI 49002-4314 | 2007-03-07 |
| 1013926997 | Ascension Medical Group Promed | Obstetrics & Gynecology | 8001 Angling Rd, Portage, MI 49024-7422 | 2006-08-07 |
| 1720009954 | Ascension Medical Group Promed | Internal Medicine | 1717 Shaffer St, Ste 124, Kalamazoo, MI 49048-1647 | 2006-07-22 |
| 1497709869 | Ascension Medical Group Promed | Internal Medicine | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-05-20 |
| Street Address |
3025 GULL RD STE 250 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124075957 | Phillip M Green | Psychiatry & Neurology | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-05-27 |
| 1790256451 | Joshua Nagel | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-12-06 |
| 1003386830 | Amanda Borieo | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-12-05 |
| 1396240743 | Lindsay Switzer | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-28 |
| 1861997314 | Leslie Anne Rafferty | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-27 |
| 1598260309 | Susan Jane Thomas | Occupational Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-26 |
| 1528562568 | Alyssa M Yuill | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-23 |
| 1104329572 | Mark Holling | Physical Therapist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2018-03-13 |
| 1902178072 | Anne Lea Klok | Clinical Exercise Physiologist | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2012-02-03 |
| 1285875013 | Promed Healthcare | Chiropractor | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2009-03-06 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720246556 | Lynn J. Kern, M.d., P.C. | Obstetrics & Gynecology | 601 John St Ste M-325, Kalamazoo, MI 49007-5358 | 2008-05-29 |
| 1609967157 | Obgyn PC | Obstetrics & Gynecology | 2854 S 11th Street, Kalamazoo, MI 49009-2129 | 2006-09-28 |
| 1851342349 | Brian William Nielsen | Obstetrics & Gynecology | 601 John St Ste N1100, Kalamazoo, MI 49007 | 2006-05-12 |
| 1649247792 | Maryann Phillippi | Obstetrics & Gynecology | 601 John St Ste N1200, Kalamazoo, MI 49007-5318 | 2006-03-07 |
| 1851386197 | Carter Lomax Jr. | Obstetrics & Gynecology | 2854 S 11th St, Kalamazoo, MI 49009-2129 | 2005-09-13 |
| 1689036733 | Kristen Duman Scholten | Obstetrics & Gynecology | 601 John St, Kalamazoo, MI 49007-5341 | 2016-03-27 |
| 1437545431 | Jennifer O'neill | Obstetrics & Gynecology | 2854 S 11th St, Kalamazoo, MI 49009-2129 | 2015-04-07 |
| 1144648551 | Jordan Wroblewski | Obstetrics & Gynecology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2014-04-02 |
| 1972949220 | Elise Nicole Simpson | Obstetrics & Gynecology | 1535 Gull Rd Ste 250, Kalamazoo, MI 49048-1661 | 2013-05-14 |
| 1841554078 | Tamika L Martin | Obstetrics & Gynecology | 1535 Gull Rd Ste 250, Kalamazoo, MI 49048-1661 | 2012-07-03 |
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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.