BRONSON METHODIST HOSPITAL (NPI# 1801298799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801298799 |
Entity Type | Organization |
Organization Name | BRONSON METHODIST HOSPITAL |
Other Organization Name | BRONSON PEDIATRIC HEMATOLOGY ONCOLOGY CENTER |
Practice Address |
601 John St Suite M005 Kalamazoo MI 49007-5341 |
Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
Practice Telephone | 2693416350 |
Practice Fax Number | 2693418580 |
Mailing Telephone | 2693417806 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2016-01-25 |
Authorized Official Name | MS. REBECCA EAST (VICE PRESIDENT) |
Authorized Official Telephone | 2693416000 |
Is Organization Subpart | Y |
Parent Organization Name | BRONSON METHODIST HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bronson Pediatric Hematology Oncology Center | 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 |
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 |
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 ST SUITE M005 |
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 |
Find all providers in zip 49007 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427051200 | Joseph Mirro Jr. | Pediatrics | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | 2005-05-24 |
1588806277 | Prasanth Pillai | Pediatrics | 601 John St, Suite M-005, Kalamazoo, MI 49007-5341 | 2009-03-27 |
1558330829 | Leonard Mattano | Pediatrics | 601 John St, Ste E-300, Kalamazoo, MI 49007-5341 | 2006-03-17 |
1851360176 | Jeffrey S Lobel | Pediatrics | 601 John St, Ste M005, Kalamazoo, MI 49007-5341 | 2006-03-17 |
1710956347 | Katharina E Elliott | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
1124347497 | George Lewis Royer Jr. | Pediatrics | 1750 Greenbriar Dr, Portage, MI 49024-5785 | 2010-05-25 |
1679701692 | Tania Tusharkanti Sarker | Pediatrics | 2700 Hamlin Boulevard, Inkster, MI 48141 | 2009-06-29 |
1942403720 | Troy Christopher Quigg | Pediatrics | 100 Michigan St Ne Fl 10, Grand Rapids, MI 49503-2560 | 2007-06-07 |
1922063478 | Laura K Gowans | Pediatrics | 3577 West 13 Mile Road, Suite 101, Royal Oak, MI 48073 | 2006-04-19 |
1740802958 | Msu Health Care Inc. | Pediatrics | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-05-11 |
1972030567 | Jillian Lapinski | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-05-15 |
1689037954 | Joshua Goldman | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2016-04-03 |
1023402906 | Charles Nathaniel Nessle | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2015-03-27 |
1073924510 | Allison Schnepp | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2014-05-19 |
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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.