BRONSON METHODIST HOSPITAL (NPI# 1487726295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487726295 |
Entity Type | Organization |
Organization Name | BRONSON METHODIST HOSPITAL |
Other Organization Name | BRONSON METHODIST HOSPITAL PHYSICIAN ASSISTANTS |
Practice Address |
601 John Street Kalamazoo MI 49007 |
Mailing Address |
601 John Street Box 42 Kalamazoo MI 49007 |
Practice Telephone | 2693417654 |
Mailing Telephone | 2693417806 |
Mailing Fax Number | 2693418743 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. MARY M MEITZ (VICE PRESIDENT FINANCE) |
Authorized Official Telephone | 2693417654 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Bronson Methodist Hospital Physician Assistants | 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 |
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 |
1710993357 | Bronson Methodist Hospital | Home Health | 6938 Elm Valley Dr, Kalamazoo, MI 49009-7447 | 2006-08-01 |
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 |
1326158189 | Debora Frisk | Dietitian, Registered | 601 John Street, Kalamazoo, MI 49007 | 2006-08-30 |
1417961137 | Bronson Methodist Hospital | Internal Medicine | 601 John Street, Kalamazoo, MI 49007 | 2006-07-28 |
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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 | 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 |
---|---|---|---|---|
1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
1619574654 | Conor Mccabe | Physician Assistant | 2413 Logan Ave, Kalamazoo, MI 49008-3949 | 2020-10-02 |
1134766942 | Scott E Boyd | Physician Assistant | 8071 N 6th St, Kalamazoo, MI 49009-8808 | 2019-12-01 |
1720566847 | Lydia Chardel Bruenjes | Physician Assistant | 6565 W Main St #100, Kalamazoo, MI 49009-9199 | 2018-07-31 |
1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
1467901892 | Brian Christopher Rensch | Physician Assistant | 916 Austin St, Kalamazoo, MI 49008-1105 | 2016-09-27 |
1427415462 | Katelyn Vasicek | Physician Assistant | 601 John St Ste M-302, Kalamazoo, MI 49007 | 2016-01-21 |
1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
1700291549 | Lauren Gilbertson | Physician Assistant | 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 | 2014-06-30 |
1447445002 | Jennifer Hurtt | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2007-09-07 |
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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.