Individual provider Active NPI

Donald Robert Salmon, PA C

  • Medical Physician Assistant
  • South Haven, MI
National Provider Identifier
1003832908
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601003054 Issued in MI
Practice address
955 S Bailey Ave FL 2
South Haven, MI 49090-6743
Phone
(269) 639-2777
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601003054 MI Primary

Addresses

Primary practice location

955 S Bailey Ave FL 2
South Haven, MI 49090-6743

Mailing address

PO Box 566
Portage, MI 49081
Phone (616) 975-1845

Other practice location 1

300 North Ave
Battle Creek, MI 49016
Phone (269) 964-5888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000742 MI Practitioner - Physician Assistant 5799879748 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, shared by 3 NPIs, 721 clinicians

Practice addresses (Care Compare)

2151 Columbia Ave W
Bronson Quickcare Plus Columbia Ave
Battle Creek, MI 49015-2816
Phone (269) 979-6888

300 N Ave
Battle Creek, MI 49017-3307

300 N Ave Outpatient Ctr 2ND FL
Bronson Neuroscience Center
Battle Creek, MI 49017-3307
Phone (269) 245-5862

5623 Gull Rd
Kalamazoo, MI 49048-1098
Phone (269) 775-8031

601 John St
Kalamazoo, MI 49007-5377

6210 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 286-7030

6220 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 276-4744

940 John St
Kalamazoo, MI 49001-2857
Phone (269) 552-4266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601003054MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince Nov 6, 2018 Accepting new patients
Bronson Methodist Hospital CurrentSince Feb 20, 2016 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 18, 2022 Accepting new patients
Diagnostic Pathology Services of Southwest Michigan PC Current Accepting new patients
Bronson Lakeview Hospital Medical CurrentSince Oct 18, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2021 Accepting new patients
Bronson Methodist Hospital CurrentSince Oct 18, 2022 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson South Haven Hospital CurrentSince Nov 6, 2018 Accepting new patients
Three Rivers Emergency Physicians PLLC Past Accepting new patients
Calhoun County Emergency Physicians PC Past Accepting new patients
Battle Creek Emergency Physicians, PC Medical Past Accepting new patients

Locations

Dept CH 14260
Palatine, IL 60055

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

5121 S Westnedge Ave
Portage, MI 49002
Phone (269) 337-2110

955 S Bailey Ave
Fl 2
South Haven, MI 49090
Phone (269) 639-2772

955 S Bailey Ave
Ste 200
South Haven, MI 49090
Phone (269) 639-2720

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1003832908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49081",
            "telephone_number": "616-975-1845",
            "fax_number": "616-975-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S BAILEY AVE FL 2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490906743",
            "telephone_number": "269-639-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 North Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "49016",
            "country_code": "US",
            "telephone_number": "269-964-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMON",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Haven, MI

Sources for this page

Verify at the official NPI Registry.