PARAGON HEALTH, P.C. (NPI# 1902847098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902847098 |
| Entity Type | Organization |
| Organization Name | PARAGON HEALTH, P.C. |
| Other Organization Name | SOUTHWEST MICHIGAN DERMATOLOGY |
| Practice Address |
3000 Old Centre Rd Portage MI 49024-4883 |
| Practice Telephone | 2693217546 |
| Practice Fax Number | 2693211705 |
| Mailing Telephone | 2693217546 |
| Mailing Fax Number | 2693211705 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CN8688 | 01 | |
| MI | BLUE CROSS & BLUE SHIELD | 070C910440 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest Michigan Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 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 |
3000 OLD CENTRE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925528 | Craig Albert Mohney | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-05-02 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1932658184 | Kayla Chapman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024 | 2016-09-29 |
| 1225411705 | Ryan Timothy Jones | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2015-07-02 |
| 1003239500 | Gina Marie O'callaghan | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2014-02-04 |
| 1407281108 | Cristy J Burghardt | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-09-12 |
| 1053754168 | Stephanie Sabater-geib | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2013-04-09 |
| 1770730053 | Emily Elizabeth Roberts | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2008-08-19 |
| 1619179710 | Jessica Elaine Liggett | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2007-06-01 |
| 1285745950 | Jeffry Scott Freeman | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-08-31 |
| Find all providers in the same location | ||||
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518925528 | Craig Albert Mohney | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-05-02 |
| 1710975255 | Ruchik S Desai | Dermatology | 3190 Lancer St, Portage, IN 46368-4408 | 2005-10-10 |
| 1225411705 | Ryan Timothy Jones | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2015-07-02 |
| 1659637791 | Emily Margaret Garritson | Dermatology | 3190 Lancer St, Portage, IN 46368-4488 | 2012-04-03 |
| 1619179710 | Jessica Elaine Liggett | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2007-06-01 |
| 1750475695 | Paul W Wang | Dermatology | 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1891889713 | Gerald D Karabin | Dermatology | 6100 Newport Rd, Ste 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1841384773 | William F Weston | Dermatology | 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1073607925 | Kalamazoo Dermatology, P.C. | Dermatology | 6100 Newport Rd, Ste 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1063470078 | David Charles Semler | Dermatology | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2006-05-02 |
| Find all providers in PORTAGE | ||||
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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.