HEALTHCARE MIDWEST PC (NPI# 1215158191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215158191 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE MIDWEST PC |
| Other Organization Name | HEALTHCARE MIDWEST UROLOGY |
| Practice Address |
601 John St Suite M206c Kalamazoo MI 49007-5341 |
| Mailing Address |
4341 S Westnedge Ave Suite 2205 Kalamazoo MI 49008-3289 |
| Practice Telephone | 2693499745 |
| Practice Fax Number | 2694888305 |
| Mailing Telephone | 2693734646 |
| Mailing Fax Number | 2693737655 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MR. JAMES E MCKERNAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2693734646 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHCARE MIDWEST, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS GRP PIN | 340C910480 | 01 |
| Other Name | Type Code |
|---|---|
| HealthCare Midwest Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518166842 | Healthcare Midwest PC | Internal Medicine | 601 John St, Suite M401, Kalamazoo, MI 49007-5341 | 2007-07-17 |
| 1376764241 | Healthcare Midwest PC | Nurse Anesthetist, Certified Registered | 125 W Walnut St, Kalamazoo, MI 49007-5239 | 2007-05-01 |
| 1992926877 | Healthcare Midwest PC | Orthopaedic Surgery | 601 John St, Suite M206b, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1245451129 | Healthcare Midwest PC | Surgery | 601 John St, Suite M283, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1306067285 | Healthcare Midwest PC | Internal Medicine | 601 John St, Suite M170, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1265653158 | Healthcare Midwest PC | Orthopaedic Surgery | 601 John St, Suite M230, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1285855189 | Healthcare Midwest PC | Otolaryngology | 601 John St, Suite M273, Kalamazoo, MI 49007-5341 | 2007-05-01 |
| 1093936999 | Healthcare Midwest PC | Pediatrics | 4613 W Main St, Suite A, Kalamazoo, MI 49006-2645 | 2007-05-01 |
| 1144375619 | Healthcare Midwest PC | Clinical Medical Laboratory | 601 John St, Suite M-170, Kalamazoo, MI 49007-5341 | 2007-01-24 |
| 1265513881 | Healthcare Midwest PC | Durable Medical Equipment & Medical Supplies | 485 Columbia Ave E, Suite 9, Battle Creek, MI 49015-4499 | 2006-10-18 |
| Street Address |
601 JOHN ST SUITE M206C |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316246192 | Julie Anne Brownell | Urology | 601 John Street, Sutie M318, Kalamazoo, MI 49007-5341 | 2011-03-20 |
| 1972815348 | Frederick Ian Berg | Urology | 601 John St, Kalamazoo, MI 49007-5341 | 2010-07-13 |
| 1912149683 | Pamela Sue Baron | Urology | 601 John St, Ste M206c, Kalamazoo, MI 49007-5341 | 2009-03-27 |
| 1164466009 | Paul L Vandenbrink | Urology | 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 | 2006-06-15 |
| 1407890882 | Mark A Lucas | Urology | 601 John St, Suite M-206c, Kalamazoo, MI 49007-5341 | 2006-06-15 |
| 1972546059 | Robert R Isacksen | Urology | 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 | 2006-06-14 |
| 1548203540 | Anthony Raymond Gauthier Jr. | Urology | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2006-06-14 |
| 1134161268 | James B Bour | Urology | 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 | 2006-06-12 |
| 1285672493 | Gregor W Blix | Urology | 601 John St, Suite M206, Kalamazoo, MI 49007-5341 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHCARE MIDWEST PC.
| 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.