DR. UMAKANT SHIVLAL DOCTOR (NPI# 1649273855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649273855 |
Entity Type | Individual |
Full Name | DR. UMAKANT SHIVLAL DOCTOR |
Credential | M.D. |
Practice Address |
1535 Gull Rd Ste 110 Kalamazoo MI 49048-1630 |
Practice Telephone | 2692760800 |
Practice Fax Number | 2692760801 |
Mailing Telephone | 2692760800 |
Mailing Fax Number | 2692760801 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301033289 | MI | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4301033289 | MI | Allopathic & Osteopathic Physicians |
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
4301033289 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 0603943711 | 01 |
MI | 4265944 | 05 |
Street Address |
1535 GULL RD STE 110 |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-1630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1871757708 | Suresh Potluri | Specialist | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2008-07-10 |
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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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194700104 | Anthony King | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2005-12-13 |
1164809067 | Keith Smart | Internal Medicine | 601 John St, Kalamazoo, MI 49007-5341 | 2015-04-29 |
1255695987 | Ryan Jamoua | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-06-27 |
1366769747 | Jessica Delois Williams | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2010-04-26 |
1871714915 | Brett J Eliuk | Internal Medicine | 601 John St, Suite 100, Kalamazoo, MI 49007-5341 | 2007-05-02 |
1770709602 | Borgess Medical Center | Internal Medicine | 1717 Shaffer St, Suite 232, Kalamazoo, MI 49048-1647 | 2007-04-18 |
1306976204 | Ascension Borgess Hospital | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2007-03-07 |
1104952019 | Premier Cardiology PC | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2007-02-26 |
1932253200 | Paul Chacko | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-01-23 |
1629165378 | Sreenivas P Kamath | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2006-10-06 |
Find all providers in KALAMAZOO |
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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.