Paragon Health PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PARAGON HEALTH PC

Doing business as

Adult & Pediatric ENT

Practice address

2889 S 11TH St
Kalamazoo, MI 49009-2123

Phone

(269) 343-1296

Fax

(269) 344-8485

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark C. Rummel, M.D.

Title

President

Phone

(269) 341-4554

Specialties & licenses 2

Addresses

Other names 1

• Adult & Pediatric ENT Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Paragon Health, PC

  • Ophthalmology Physician
  • Kalamazoo, MI
  • NPI 1275582249

  O20040706000913

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ely Shapiro, M.D.

  • Otolaryngology Physician
  • Kalamazoo, MI
  • NPI 1154359149
  NPD

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1053589960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 GULL RD STE B1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490483619",
            "telephone_number": "269-341-4554",
            "fax_number": "269-381-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1296",
            "fax_number": "269-344-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "RUMMEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-341-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Pediatric ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult & Pediatric ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gautam Krishna Pandrangi
• Pranay Vamsikrishna Pandrangi, BS, MD
• Deanne Kay Pape, LMSW
• Stanislaus Paprocki, EMT-P
• Alexandra Paque, MT-BC
• Paragon Health PC
• Paragon Health PC
• Paragon Health PC
• Paragon Health PC
• Paragon Health PC

• Otolaryngology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.