BORGESS MEDICAL CENTER (NPI# 1235297557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235297557 |
| Entity Type | Organization |
| Organization Name | BORGESS MEDICAL CENTER |
| Practice Address |
7901 Angling Rd Portage MI 49024-0714 |
| Mailing Address |
5943 Stadium Dr Suite 3 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2693248405 |
| Mailing Telephone | 2695522836 |
| Mailing Fax Number | 2695522835 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | MR. EDWARD MILLERMAIER (MEDICAL OFFICER) |
| Authorized Official Telephone | 2695522910 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1821045212 | Borgess Medical Center | Internal Medicine | 411 Naomi St, Plainwell, MI 49080-1222 | 2006-05-30 |
| 1720406333 | Borgess Medical Center | Pharmacy | 3035 Capital Ave Sw, Battle Creek, MI 49015-4334 | 2014-04-01 |
| 1629495320 | Borgess Medical Center | Emergency Medicine | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2014-03-20 |
| 1881031292 | Borgess Medical Center | Psychiatric Hospital | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2013-05-24 |
| 1881999464 | Borgess Medical Center | Clinic/Center | 7901 Angling Rd, Portage, MI 49024-0714 | 2011-01-13 |
| 1194907071 | Borgess Medical Center | Psychologist | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1285816165 | Borgess Medical Center | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2007-12-03 |
| 1770709602 | Borgess Medical Center | Internal Medicine | 1717 Shaffer St, Suite 232, Kalamazoo, MI 49048-1647 | 2007-04-18 |
| 1083744122 | Borgess Medical Center | Nurse Practitioner | 3025 Gull Rd, Kalamazoo, MI 49048-1281 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BORGESS MEDICAL CENTER INPATIENT PHARMACY | 1521 Gull Road, Kalamazoo, MI 49048-1640 |
| Street Address |
7901 ANGLING RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-0714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724751 | Teresa Bailey Klepser | Pharmacist | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-03-17 |
| 1114551777 | Kelsey Lankford | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| 1023642683 | April Klavinger | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| 1477081685 | Dalal Ghossein Kassir | Family Medicine | 7901 Angling Rd, Portage, MI 49024-0714 | 2017-06-01 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| 1689056376 | Kristen Marie Moran | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-06-18 |
| 1235546722 | Katherine Mclellan Patil | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2014-07-16 |
| 1609142447 | Great Lakes Anesthesia Consultants Pllc | Nurse Anesthetist, Certified Registered | 7901 Angling Rd, Portage, MI 49024-0714 | 2012-03-27 |
| 1669744660 | Pamela M Bryant | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2012-02-07 |
| 1326326190 | Megan N Pelc | Physician Assistant | 7901 Angling Rd, #1, Portage, MI 49024-0714 | 2011-07-28 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1699959593 | Jennifer Anne Graslie | Physician Assistant | 2847 New Pinery Road, Portage, WI 53901-0387 | 2007-12-27 |
| 1962445080 | Autumn Nicole Hopkins | Physician Assistant | 6100 Newport Road, Suite 100, Portage, MI 49002 | 2006-06-14 |
| 1396749800 | Lucetta Lynne Lyford | Physician Assistant | 430 W. Centre Ave., Portage, MI 49024 | 2005-06-13 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1750876694 | Morgan Buchholz | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-06-23 |
| 1316466345 | Zane Stampfly | Physician Assistant | 7775 Angling Rd, Portage, MI 49024-7427 | 2017-09-11 |
| 1174050918 | Matthew Gregory Rajala | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-05-11 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| 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.