MARK RADIGAN (NPI# 1871973784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871973784 |
| Entity Type | Individual |
| Full Name | MARK RADIGAN |
| Credential | MD |
| Practice Address |
1000 Oakland Dr Kalamazoo MI 49008 |
| Mailing Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 2693376115 |
| Mailing Telephone | 2693374400 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301107850 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301107850 | MI | Student, Health Care |
| Street Address |
1000 OAKLAND DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467249 | Michigan State University Kalamazoo Center for Medical Studies | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2005-06-17 |
| 1154930899 | Rawand Khaled Abdel Wahed | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-29 |
| 1932717808 | Reem Issa Ibrahim Anz | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-16 |
| 1386262525 | Mohammad Sabobeh | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-13 |
| 1396363024 | Marian Jirjis | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-09 |
| 1538786314 | David Mahmoudian | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1284 | 2020-06-29 |
| 1316564099 | Mursel Momand | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-29 |
| 1992322713 | Taylor Cable | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-26 |
| 1679199665 | Haripriya Santhanam | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-25 |
| 1134745110 | Faisal Ansari | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002727 | Cayla Williams | Emergency Medicine | 1009 Coolidge Ave, Kalamazoo, MI 49006-2119 | 2015-05-15 |
| 1063847416 | Fred Lee Wedeking | Emergency Medicine | 1034 Crown St, Kalamazoo, MI 49006-2102 | 2013-09-04 |
| 1609175868 | Timothy Roy Trichler Jr. | Emergency Medicine | 1535 Gull Rd # Msb015, Kalamazoo, MI 49048-1650 | 2011-03-26 |
| 1568663185 | Jeremiah Joseph Ledesma | Emergency Medicine | 125 S Kalamazoo Mall Ste 204, Kalamazoo, MI 49007-4869 | 2007-05-30 |
| 1295886802 | Scott David Cline | Emergency Medicine | 1850 Whites Rd Ste 3, Kalamazoo, MI 49008-4801 | 2007-01-12 |
| 1710060066 | Jyothirmai Bobba | Emergency Medicine | 5973 Beatrice Dr, Kalamazoo, MI 49009-9583 | 2006-10-23 |
| 1437169034 | Theresa A Kordish | Emergency Medicine | 2121 Hudson Avenue, Suite 102, Kalamazoo, MI 49008 | 2006-08-08 |
| 1952351165 | Paul Rehkopf | Emergency Medicine | 1917 Argyle Ave, Kalamazoo, MI 49008-2213 | 2006-05-10 |
| 1578522173 | Zbigniew Mark Srodulski | Emergency Medicine | 1850 Whites Rd, Suite 3, Kalamazoo, MI 49008-4801 | 2006-03-22 |
| 1124006465 | Charles M Dwan | Emergency Medicine | 1634 Gull Rd, Kalamazoo, MI 49048-1632 | 2006-01-06 |
| 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.