DR. JONATHAN ROSS DADURIAN (NPI# 1023454832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023454832 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ROSS DADURIAN |
| Credential | MD |
| Practice Address |
125 S Kalamazoo Mall Ste 204 Kalamazoo MI 49007 |
| Practice Telephone | 2693433900 |
| Mailing Telephone | 2693433900 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301102882 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
125 S KALAMAZOO MALL STE 204 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952381550 | Denisha Ann Pierman | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-01-19 |
| 1174886493 | Andrew Kurkiewicz | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-06-21 |
| 1104187657 | Laura Kujacznski | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-05-31 |
| 1275894958 | Steven Kurt Waskiewicz | Nurse Practitioner | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2012-05-30 |
| 1205064458 | Jessica Ann Wright | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2009-06-26 |
| 1679721096 | Jarod L Bailey | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2008-08-28 |
| 1770739302 | Ashley M Bays | Physician Assistant | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2008-08-14 |
| 1033312343 | Ryan Steven Smith | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2007-06-06 |
| 1689894529 | Jessica Jean Mccoy | Emergency Medicine | 125 S Kalamazoo Mall, Suite 206, Kalamazoo, MI 49007-4832 | 2007-04-25 |
| 1457465734 | Charles Leroy Zeller Jr. | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
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| 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 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002727 | Cayla Williams | Emergency Medicine | 1009 Coolidge Ave, Kalamazoo, MI 49006-2119 | 2015-05-15 |
| 1063847416 | Fred Lee Wedeking | Emergency Medicine | 1034 Crown St, Kalamazoo, MI 49006-2102 | 2013-09-04 |
| 1609175868 | Timothy Roy Trichler Jr. | Emergency Medicine | 1535 Gull Rd # Msb015, Kalamazoo, MI 49048-1650 | 2011-03-26 |
| 1568663185 | Jeremiah Joseph Ledesma | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2007-05-30 |
| 1295886802 | Scott David Cline | Emergency Medicine | 1850 Whites Rd Ste 3, Kalamazoo, MI 49008-4801 | 2007-01-12 |
| 1710060066 | Jyothirmai Bobba | Emergency Medicine | 5973 Beatrice Dr, Kalamazoo, MI 49009-9583 | 2006-10-23 |
| 1437169034 | Theresa A Kordish | Emergency Medicine | 2121 Hudson Avenue, Suite 102, Kalamazoo, MI 49008 | 2006-08-08 |
| 1952351165 | Paul Rehkopf | Emergency Medicine | 1917 Argyle Ave, Kalamazoo, MI 49008-2213 | 2006-05-10 |
| 1578522173 | Zbigniew Mark Srodulski | Emergency Medicine | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2006-03-22 |
| 1124006465 | Charles M Dwan | Emergency Medicine | 1634 Gull Rd, Kalamazoo, MI 49048-1632 | 2006-01-06 |
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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.