RICHARD A DIRRENBERGER (NPI# 1457331183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457331183 |
| Entity Type | Individual |
| Full Name | RICHARD A DIRRENBERGER |
| Credential | M.D. |
| Practice Address |
1541 Gull Rd Suite 200 Kalamazoo MI 49048-1639 |
| Practice Telephone | 2693431264 |
| Practice Fax Number | 2693439555 |
| Mailing Telephone | 2693431264 |
| Mailing Fax Number | 2693439555 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301039982 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1954023 | 05 |
| Street Address |
1541 GULL RD SUITE 200 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295984 | Amanda Jo Johnson | Physician Assistant | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2017-03-02 |
| 1144591629 | Beverly Renae Deblecourt | Nurse Practitioner | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2012-01-16 |
| 1801060397 | Anthony Lee | Psychiatry & Neurology | 1541 Gull Rd, Ste 100, Kalamazoo, MI 49048-1644 | 2008-04-16 |
| 1881716959 | Hunter Geoffrey Brumblay | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2007-04-06 |
| 1093812349 | Eriks Antons Lusis | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2006-09-20 |
| 1174540116 | Connie L Van Es | Nurse Practitioner | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1644 | 2006-07-16 |
| 1316994577 | Premier Medical Care | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-05-30 |
| 1396709523 | Fayyaz Mahmood | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-14 |
| 1033173794 | Sugandhi Sridharan | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-12 |
| 1326001496 | Igor G Kaps | Psychiatry & Neurology | 1541 Gull Rd, Suite 100, Kalamazoo, MI 49048-1639 | 2006-04-10 |
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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 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881716959 | Hunter Geoffrey Brumblay | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2007-04-06 |
| 1073638185 | Chris A Sloffer | Neurological Surgery | 601 John St, Suite M-124, Kalamazoo, MI 49007-5341 | 2007-03-20 |
| 1093812349 | Eriks Antons Lusis | Neurological Surgery | 1541 Gull Rd, Ste 200, Kalamazoo, MI 49048-1644 | 2006-09-20 |
| 1821030214 | Romolo Harris Russo | Neurological Surgery | 601 John St, Suite M-170, Kalamazoo, MI 49007-5341 | 2006-06-12 |
| 1942278106 | Daryl E Warder | Neurological Surgery | 601 John St, Ste M124, Bronson Neuroscience Center, Kalamazoo, MI 49007-5341 | 2006-03-14 |
| 1376513572 | Jonathan W. Hopkins | Neurological Surgery | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 | 2006-01-23 |
| 1760462121 | Alain Y Fabi | Neurological Surgery | 601 John St, Suite M124, Kalamazoo, MI 49007-5341 | 2006-01-20 |
| 1699755033 | Raghu Raj Singh | Neurological Surgery | 601 John St, Suite M124, Kalamazoo, MI 49007-5341 | 2006-01-20 |
| 1598745952 | Mark J Krinock | Neurological Surgery | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 | 2006-01-20 |
| 1982684270 | Neurosurgery of Kalamazoo, P.C. | Neurological Surgery | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 | 2006-01-20 |
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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.