BORGESS MEDICAL CENTER (NPI# 1336279827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336279827 |
| Entity Type | Organization |
| Organization Name | BORGESS MEDICAL CENTER |
| Other Organization Name | BORGESS TRAUMA SERVICES |
| Practice Address |
1535 Gull Rd Suite 005 Kalamazoo MI 49048-1650 |
| Mailing Address |
5943 Stadium Dr Suite 3 Kalamazoo MI 49009-3016 |
| Practice Telephone | 2692266917 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD MILLERMAIER (CMO) |
| Authorized Official Telephone | 2695522910 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Borgess Trauma Services | Doing Business As Name - Organization |
| 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 |
1535 GULL RD SUITE 005 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273855 | Umakant Shivlal Doctor | Internal Medicine | 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 | 2005-05-23 |
| 1417489931 | Katheryn Elisabeth Clark | Advanced Practice Midwife | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2017-04-03 |
| 1649714452 | Susan Doan | Physician Assistant | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-12-13 |
| 1144673070 | Kristen Dib | Advanced Practice Midwife | 1535 Gull Rd, Kalamazoo, MI 49048-1650 | 2016-07-15 |
| 1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
| 1841670510 | Elizabeth Bobo | Nurse Practitioner | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2015-06-08 |
| 1194163246 | Tabitha Jane Ewert | Physician Assistant | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 | 2013-06-11 |
| 1578858676 | Michael Robert Mcbride | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2011-06-16 |
| 1295979474 | Lewis Jeremy Johnson | Surgery | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2009-05-01 |
| 1134361215 | Michael Lee Adix II | Radiology | 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 | 2009-04-03 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285604751 | Paul A Blostein | Surgery | 601 John St, Suite M351, Kalamazoo, MI 49007-5341 | 2006-01-25 |
| 1780664342 | Brian R Plaisier | Surgery | 601 John St, Bronsons Trauma and Emergency Surgery Suite E178, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1811977424 | Scott B Davidson | Surgery | 601 John St, Suite M452, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548600638 | Td Oweis Md Plc | Surgery | 1528 Lawndale Dr, Royal Oak, MI 48067-1158 | 2013-07-03 |
| 1417249442 | Victoria Lynn Sharp | Surgery | 5301 E Huron River Dr Ste 2428, Ypsilanti, MI 48197-1051 | 2011-05-10 |
| 1427660489 | Violet Onkoba Do Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-08-20 |
| 1285259457 | Scott Barnes Do Plc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-12 |
| 1124642632 | Sheer Surgical Pllc | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2020-06-01 |
| 1588222830 | Aaron James Tice | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-06-02 |
| 1720560055 | Kaely Shaye Schlosser | Surgery | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2018-09-04 |
| 1982146866 | United Trauma Care Plc | Surgery | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-11-09 |
| 1043627425 | Ghassan Al Ramahi | Surgery | One Hurley Plaza, 7b Floor, Trauma Service, Flint, MI 48503 | 2014-07-17 |
| 1861733123 | Patrick Richard Beer | Surgery | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-03-12 |
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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.