PARAGON HEALTH, P.C. (NPI# 1629528765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629528765 |
Entity Type | Organization |
Organization Name | PARAGON HEALTH, P.C. |
Other Organization Name | WEST MICHIGAN PLASTIC SURGERY |
Practice Address |
8175 Creekside Dr Ste 100 Portage MI 49024-5370 |
Practice Telephone | 2692221611 |
Practice Fax Number | 2692221607 |
Mailing Telephone | 2692221611 |
Mailing Fax Number | 2692221607 |
Enumeration Date | 2016-10-13 |
Last Update Date | 2018-03-17 |
Authorized Official Name | DR. SANJAY P. DALAL (PRESIDENT) |
Authorized Official Telephone | 2693414554 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | PARAGON HEALTH, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301069904 | MI | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
West Michigan Plastic Surgery | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2318 Gull Rd, Suite B, Kalamazoo, MI 490483619 | 2693414554 | 2693813063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902847098 | Paragon Health, P.C. | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-06-09 |
1649234980 | Paragon Health, P.C. | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2006-04-13 |
1841254430 | Paragon Health, P.C. | Internal Medicine | 1535 Gull Rd, Suite 105, Kalamazoo, MI 49048-1650 | 2006-04-12 |
Street Address |
8175 CREEKSIDE DR STE 100 |
City | PORTAGE |
State | MI |
Zip Code | 49024-5370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073037313 | Great Lakes Hand Therapy PC | Occupational Therapist | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2017-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
Find all providers in zip 49024 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
1689689259 | Milena Diana Lambie | Surgery | 27750 Middlebelt Rd Ste 150, Farmington Hills, MI 48334-5007 | 2006-07-30 |
Find all providers with the same taxonomy |
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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.