KALAMAZOO ENDO CENTER LLC (NPI# 1790318483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790318483 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO ENDO CENTER LLC |
| Practice Address |
3300 Cooley Ct Portage MI 49024-7430 |
| Mailing Address |
2500 York Rd Ste 300 Jamison PA 18929-1098 |
| Practice Telephone | 2693213390 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | SHARON M HOHLFELD (CO-TREASURER) |
| Authorized Official Telephone | 2155899024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| 1811933179 | Kalamazoo Endo Center LLC | Clinic/Center | 3300 Cooley Court, Portage, MI 49024 | 2006-06-22 |
| Street Address |
3300 COOLEY CT |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295777670 | Lani S Hensel | Nurse Anesthetist, Certified Registered | 7240 Mackenzie Ln, Portage, MI 49024-4414 | 2006-06-12 |
| 1598141178 | Lifelinc Anesthesia Iv PC | Nurse Anesthetist, Certified Registered | 3304 Cooley Ct, Portage, MI 49024-7430 | 2015-08-05 |
| 1609142447 | Great Lakes Anesthesia Consultants Pllc | Nurse Anesthetist, Certified Registered | 7901 Angling Rd, Portage, MI 49024-0714 | 2012-03-27 |
| 1982742847 | Andrew Jones | Nurse Anesthetist, Certified Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2007-02-02 |
| 1477662286 | Thomas F Ray | Nurse Anesthetist, Certified Registered | 7240 Mackenzie Ln, Portage, MI 49024-4414 | 2006-08-29 |
| 1588772016 | Myra Ray | Nurse Anesthetist, Certified Registered | 7240 Mackenzie Ln, Portage, MI 49024-4414 | 2006-08-25 |
| 1326151580 | William S. Rogers | Nurse Anesthetist, Certified Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2006-08-15 |
| 1922037175 | Daniel R Langan | Nurse Anesthetist, Certified Registered | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2006-07-01 |
| 1356317309 | John Mitchell Hoopes | Nurse Anesthetist, Certified Registered | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2006-02-28 |
| 1699741124 | Mark T Labor | Nurse Anesthetist, Certified Registered | 2817 New Pinery Rd, Portage, WI 53901-9257 | 2006-02-24 |
| Find all providers in PORTAGE | ||||
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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.