BRONSON METHODIST HOSPITAL (NPI# 1417961137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417961137 |
| Entity Type | Organization |
| Organization Name | BRONSON METHODIST HOSPITAL |
| Other Organization Name | BRONSON MEDICAL GROUP |
| Practice Address |
601 John Street Kalamazoo MI 49007 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693417654 |
| Mailing Telephone | 2693417806 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | REBECCA EAST (SVP, CFO) |
| Authorized Official Telephone | 2693416000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRONSON METHODIST HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CA2184 | 01 |
| MI | RAILROAD MEDICARE | CK6240 | 01 |
| MI | BCBSM | 50C961050 | 01 |
| MI | BCBSM | 160C97618 | 01 |
| Other Name | Type Code |
|---|---|
| Bronson Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1316305816 | Bronson Methodist Hospital | Orthopaedic Surgery | 601 John St, Suite M230, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1508224007 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M424, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1801298799 | Bronson Methodist Hospital | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2014-09-23 |
| 1891132908 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M-230, Kalamazoo, MI 49007-5341 | 2013-05-30 |
| 1275860819 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St, Box 67, Kalamazoo, MI 49007-5341 | 2009-11-03 |
| 1215103312 | Bronson Methodist Hospital | General Acute Care Hospital | 820 John St, 102, Kalamazoo, MI 49001-2870 | 2008-05-08 |
| 1487726295 | Bronson Methodist Hospital | Physician Assistant | 601 John Street, Kalamazoo, MI 49007 | 2006-11-15 |
| 1104998913 | Bronson Methodist Hospital | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2006-11-15 |
| 1013089820 | Bronson Methodist Hospital | Nurse Practitioner | 5121 S Westnedge Ave, Portage, MI 49002-0404 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONSON METHODIST HOSPITAL | 601 John St Ste E-012, Kalamazoo, MI 49007-5346 |
| Street Address |
601 JOHN STREET |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894571 | Viola Saylor | Physician Assistant | 601 John Street, Suite M124, Kalamazoo, MI 49007-5341 | 2005-07-07 |
| 1407236607 | Shawkee Aboualayoui | Internal Medicine | 601 John Street, Kalamazoo, MI 49007 | 2015-06-02 |
| 1518356682 | Katrice Renee Woodward | Nurse Practitioner | 601 John Street, Box 74, Kalamazoo, MI 49007 | 2015-01-13 |
| 1548531510 | Jennifer Lyn Winkel | Nurse Practitioner | 601 John Street, Kalamazoo, MI 49007 | 2012-01-23 |
| 1316246192 | Julie Anne Brownell | Urology | 601 John Street, Sutie M318, Kalamazoo, MI 49007-5341 | 2011-03-20 |
| 1538493523 | Brittany Joy Post | Obstetrics & Gynecology | 601 John Street, Suite M-318, Kalamazoo, MI 49007-5383 | 2009-09-24 |
| 1124248943 | Karen Small | Advanced Practice Midwife | 601 John Street, Suite N1200, Kalamazoo, MI 49007-5341 | 2007-04-26 |
| 1023167343 | Frank James Leonard Vidal | Surgery | 601 John Street, Suite E178, Kalamazoo, MI 49007-5341 | 2007-01-09 |
| 1487726295 | Bronson Methodist Hospital | Physician Assistant | 601 John Street, Kalamazoo, MI 49007 | 2006-11-15 |
| 1326158189 | Debora Frisk | Dietitian, Registered | 601 John Street, Kalamazoo, MI 49007 | 2006-08-30 |
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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 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821437427 | Mohamed Ghonimy | Hospitalist | 601 John St, Box 74, Kalamazoo, MI 49007-5341 | 2013-06-18 |
| 1467474312 | Camelia A Merati | Hospitalist | 601 John St, Box 74 Bronson Internal Medicine Specialist, Kalamazoo, MI 49007-5341 | 2006-07-23 |
| 1255304358 | Shaza Zayzafoon-mosier | Hospitalist | 601 John St, Box 74 Bronson Internal Medicine Specialist, Kalamazoo, MI 49007-5341 | 2006-02-09 |
| 1548233562 | Todd C Bennett | Hospitalist | 601 John St, Box 74, Kalamazoo, MI 49007-5341 | 2006-02-09 |
| 1982684320 | James K Mackay | Hospitalist | 601 John St, Box 74, Kalamazoo, MI 49007-5341 | 2006-01-20 |
| 1508846940 | Tamim Salman | Hospitalist | 601 John St, Box 74 Bronson Internal Medicine Specialist, Kalamazoo, MI 49007-5341 | 2006-01-20 |
| 1730169335 | Monica I Sciuca | Hospitalist | 601 John St, Box 74 Bronson Internal Medicine Specialist, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| 1639159247 | Kwsai Al-rahhal | Hospitalist | 601 John St, Box 74, Kalamazoo, MI 49007-5341 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1790218360 | Eileen Chang | Hospitalist | 12745 S Saginaw St # 806-196, Grand Blanc, MI 48439-2437 | 2017-04-10 |
| 1588921357 | Erik Hemingway | Hospitalist | 1215 E. Michigan Ave., 7th Fl Tower, Lansing, MI 48912-1811 | 2012-04-18 |
| 1245533967 | Hussein Ajrouche, M.d., P.C. | Hospitalist | 12740 W Warren Ave Ste 200, Dearborn, MI 48126-4530 | 2010-12-20 |
| 1316178718 | Veni Jhansi Peram | Hospitalist | 20015 Boardwalk Blvd, Southfield, MI 48075-1158 | 2009-08-03 |
| 1932330511 | Aisha Zakia Rush | Hospitalist | 2 Hurley Plz Ste 212, Flint, MI 48503-5905 | 2009-07-31 |
| 1972773695 | Edward Peszko | Hospitalist | 307 East Houghton Ave, West Branch, MI 48661-1127 | 2008-03-10 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| 1598874612 | Sripriya Ganesan | Hospitalist | 1675 Leahy St Ste 304b, Muskegon, MI 49442-5543 | 2006-08-30 |
| 1508971581 | Inpatient Medical Specialists, Plc | Hospitalist | 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | 2006-08-20 |
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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.