DR. GREGORY CHARLES WIGGINS (NPI# 1710961347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710961347 |
| Entity Type | Individual |
| Full Name | DR. GREGORY CHARLES WIGGINS |
| Credential | M.D. |
| Practice Address |
601 John St Suite M124 Kalamazoo MI 49007-5341 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693417500 |
| Practice Fax Number | 2693417540 |
| Mailing Telephone | 2693417500 |
| Mailing Fax Number | 2693417540 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301065499 | MI | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | MD00039713 | WA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | A8159 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0C97618 | 01 |
| CA | 00A816590 | 05 | |
| MI | 1710961347 | 05 | |
| MI | 4843879 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376500322 | Gregory B. Wiggins | Dentist | 2170 Ashley Phosphate Rd, Suite 600, North Charleston, SC 29406-4190 | 2006-04-26 |
| 1477535474 | Gregory Mark Wiggins | Podiatrist | 205 Arlington Dr, Vidalia, GA 30474-7209 | 2005-11-16 |
| 1851719025 | Gregory Shaun Wiggins | Nurse Anesthetist, Certified Registered | 1020 S State Highway 16, Fredericksburg, TX 78624-4471 | 2014-04-03 |
| Street Address |
601 JOHN ST SUITE M124 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1457331183 | Richard A Dirrenberger | Neurological Surgery | 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048-1639 | 2006-01-19 |
| 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 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on DR. GREGORY CHARLES WIGGINS.
| 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.