DR. CECILIA MARIE PROPHIT


Address: 601 John St, Suite M273, Kalamazoo, MI 49007-5341
Phone: 2693810180

DR. CECILIA MARIE PROPHIT (NPI# 1871532705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871532705
Entity Type Individual
Full Name DR. CECILIA MARIE PROPHIT
Other Name DR. CECILIA MARIE PROPHIT
Credential M.D.
Practice Address 601 John St
Suite M273
Kalamazoo
MI 49007-5341
Practice Telephone 2693810180
Practice Fax Number 2693817347
Mailing Telephone 2693810180
Mailing Fax Number 2693817347
Enumeration Date 2006-06-06
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 4301059008 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS IND PIN 3403902650 01
AETNA PIN 5020219 01
MI 3011204-10 05
MI BCBS GRP PIN 040C910710 01
GREAT LAKES HLTH PLN 155429 01

Office Location

Street Address 601 JOHN ST
SUITE M273
City KALAMAZOO
State MI
Zip Code 49007-5341

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154359149 Ely Shapiro Otolaryngology 501 S Drake Rd, Kalamazoo, MI 49009-3234 2006-06-29
1952347155 Christopher Perry Smith Otolaryngology 501 South Drake Road, Kalamazoo, MI 49009-3234 2006-06-22
1023085784 Hugo K Roesler Otolaryngology 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 2006-03-01
1578163820 Lauren Vernice Oliver Otolaryngology 2889 S 11th St, Kalamazoo, MI 49009-2123 2020-10-27
1225352792 Corbin Draper Sullivan Otolaryngology 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 2010-03-26
1285855189 Healthcare Midwest PC Otolaryngology 601 John St, Suite M273, Kalamazoo, MI 49007-5341 2007-05-01
1699710566 Leslie Steven Szeles Otolaryngology 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 2006-06-17
1801837232 David A Milko Otolaryngology 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104445980 Anuja Dharap Otolaryngology 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 2020-04-13
1598311334 Cogent Medical Group Pllc Otolaryngology 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 2019-08-16
1073025334 Robert J Stachler Md PC Otolaryngology 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 2017-10-26
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1174905822 Scott Jacob Schwartz Otolaryngology 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 2015-06-18
1669868402 Cameron M Heilbronn Otolaryngology 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 2015-04-08
1104230523 Gary Zachary White Otolaryngology 300 North Ave Ste 1400, Battle Creek, MI 49017 2014-06-13
1437574530 Beacon Medical Group, Inc. Otolaryngology 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 2014-02-26
1124361621 Eric Fahed Succar Otolaryngology 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 2013-04-03
1396086286 Nathan Vandjelovic Otolaryngology 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2013-03-03
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Competitor

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City KALAMAZOO
Zip Code 49007

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Dataset Information

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.

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