AARON L LANE-DAVIES (NPI# 1407836091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407836091 |
| Entity Type | Individual |
| Full Name | AARON L LANE-DAVIES |
| Credential | MD |
| Practice Address |
601 John St Ste 352 Kalamazoo MI 49007-5341 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693418986 |
| Practice Fax Number | 2693416236 |
| Mailing Telephone | 2693417806 |
| Mailing Fax Number | 2693418743 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
4301073911 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CA2184 | 01 |
| MI | 4420513 | 05 |
| Street Address |
601 JOHN ST STE 352 |
| 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 |
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| 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 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220009 | Gregory P Tiongson | Pediatrics | 601 John St, Ste E352, Kalamazoo, MI 49007-5341 | 2006-01-25 |
| 1376523720 | Robert Beck | Pediatrics | 601 John St, Suite E352, Kalamazoo, MI 49007-5341 | 2006-01-20 |
| 1144200742 | Glen D Libby | Pediatrics | 601 John St, Ste 352, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1538149158 | Michelle K Halley | Pediatrics | 601 John St, Suite E352, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1336129907 | Sherry L Pejka | Pediatrics | 601 John St, Suite #352, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1215917851 | Tammy O Graves | Pediatrics | 601 John St, Suite E352, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335144 | A2 Pediatrics Pllc | Pediatrics | 171 Rockwood Ct, Ann Arbor, MI 48103-8817 | 2018-08-13 |
| 1629503172 | Erica Jordan Rider | Pediatrics | 1500 E. Medical Center Drive F6790 Uh South, Ann Arbor, MI 48109-5243 | 2017-04-21 |
| 1871786368 | Patrick Hines | Pediatrics | 3901 Beaubien 4th Floor Carl's Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2007-08-20 |
| 1376612515 | Oximetry Co LLC | Pediatrics | 15760 19 Mile Rd, Ste F, Clinton Township, MI 48038-6319 | 2006-11-06 |
| 1235593112 | Chadd Allen Mays | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-04-07 |
| 1700248838 | Lauren Margaret Zager | Pediatrics | 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 | 2016-03-28 |
| 1316323025 | Yomayra Perez Morel | Pediatrics | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2015-08-04 |
| 1861811192 | Amarilis Andrea Martin | Pediatrics | 3901 Beaubien St., Detroit, MI 48201 | 2014-04-15 |
| 1710273719 | Michael Lee Stern | Pediatrics | 1500 East Medical Center Dr, 4th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109-4217 | 2011-06-28 |
| 1639486228 | Rekha Solomon | Pediatrics | 3901 Beaubien St, Dmc Childrens Hospital of Michigan, Detroit, MI 48201-2119 | 2010-09-03 |
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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.