DR. MARC HEADAPOHL (NPI# 1033158159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033158159 |
| Entity Type | Individual |
| Full Name | DR. MARC HEADAPOHL |
| Credential | M.D. |
| Practice Address |
1850 Whites Rd Suite 3 Kalamazoo MI 49008-4801 |
| Practice Telephone | 2693433900 |
| Practice Fax Number | 2693435640 |
| Mailing Telephone | 2693433900 |
| Mailing Fax Number | 2693435640 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301074898 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1850 WHITES RD SUITE 3 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578522173 | Zbigniew Mark Srodulski | Emergency Medicine | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2006-03-22 |
| 1174182356 | Kevin Malerman | Dentist | 1850 Whites Rd, Kalamazoo, MI 49008-4801 | 2019-06-11 |
| 1972800522 | Phillip T. Doyle Dds PC | Dentist | 1850 Whites Rd, Kalamazoo, MI 49008-4801 | 2011-02-17 |
| 1356586697 | Steven B Ray Dmd PC | Dentist | 1850 Whites Rd, Suite 7, Kalamazoo, MI 49008-4801 | 2008-12-15 |
| 1285885459 | Jeffrey N Hamlin Dmd PC | Dentist | 1850 Whites Rd, Suite 2, Kalamazoo, MI 49008-4801 | 2008-10-07 |
| 1174710404 | Matthew Jv Wilton | Physician Assistant | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2007-10-01 |
| 1013114693 | Brannon Charles Duncan | Emergency Medicine | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2007-06-28 |
| 1912039892 | Daniel L Bouwman | Preventive Medicine | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2007-03-09 |
| 1235269291 | James J Brayton | Dentist | 1850 Whites Rd, Suite 6, Kalamazoo, MI 49008-4801 | 2007-03-07 |
| 1588710826 | Kenneth W Beadling Jr. | Dentist | 1850 Whites Rd, Suite #4, Kalamazoo, MI 49008-4801 | 2007-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031157 | Michael Nestorak | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2019-09-09 |
| 1609350586 | Autumn Rose Miller | Emergency Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2018-09-18 |
| 1780167957 | Brett D Birch | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-12 |
| 1063994424 | Katelyn Elizabeth Amos | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2018-09-02 |
| 1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
| 1811174899 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 601 John St, Emergency Department, Kalamazoo, MI 49007-5341 | 2008-01-22 |
| 1457465734 | Charles Leroy Zeller Jr. | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
| 1013021310 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-08-17 |
| 1780618496 | Scott D. Larson | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-10 |
| 1699704551 | Wesley L. Rigot | Emergency Medicine | 125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 49007-4832 | 2006-07-02 |
| Find all providers in KALAMAZOO | ||||
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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.