DR. MARK C RUMMEL (NPI# 1285698134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698134 |
| Entity Type | Individual |
| Full Name | DR. MARK C RUMMEL |
| Credential | M.D. |
| Practice Address |
1815 Henson Ave Kalamazoo MI 49048-1510 |
| Practice Telephone | 2694926500 |
| Practice Fax Number | 2694926461 |
| Mailing Telephone | 2694926500 |
| Mailing Fax Number | 2694926461 |
| Enumeration Date | 2006-04-15 |
| Last Update Date | 2011-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301077672 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | IBA | 37-30033 | 01 |
| MI | 4618338 | 05 | |
| MI | AETNA | 5895175 | 01 |
| MI | BLUE CARE NETWORK | P111970 | 01 |
| MI | 1285698134 | 05 | |
| MI | BCBSM - BMH | 1417961137 | 01 |
| Street Address |
1815 HENSON AVE |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121989 | William Ratigan Ranger | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048 | 2005-08-18 |
| 1669982104 | Janaye Keifer | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048 | 2017-10-11 |
| 1720375710 | Susan Marie Bauman | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2011-06-29 |
| 1619135480 | Syed M.f. Alam | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2008-05-29 |
| 1598952970 | Tammy Gale Klemens | Nurse Practitioner | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-09-28 |
| 1235337726 | Daniel James Johnston | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-07-05 |
| 1447299789 | Lawrence R Tyler | Physician Assistant | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-06-05 |
| 1487619136 | Paragon Health, PC | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1013972769 | Krishna Mohan Jain | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1700841459 | John S Munn | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821331687 | Satvik Jhamb | Surgery | 601 John St Ste M-460, Kalamazoo, MI 49007-5355 | 2013-03-30 |
| 1619135480 | Syed M.f. Alam | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2008-05-29 |
| 1235337726 | Daniel James Johnston | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-07-05 |
| 1588611750 | The Surgical Group of Sw Michigan PC | Surgery | 1535 Gull Rd, Suite 020, Kalamazoo, MI 49048-1650 | 2006-05-31 |
| 1659328508 | Sarat Kumar Vaddineni | Surgery | 601 John Street, Suite M-283, Kalamazoo, MI 49007 | 2006-05-27 |
| 1427014414 | John T Collins Jr. | Surgery | 1000 Oakland Dr, Kalamazoo, MI 49008 | 2006-04-26 |
| 1487619136 | Paragon Health, PC | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1013972769 | Krishna Mohan Jain | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1700841459 | John S Munn | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.