Borgess Medical Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BORGESS MEDICAL CENTER

Practice address

3025 Gull Rd
Kalamazoo, MI 49048-1281

Phone

(269) 552-2273

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Edward Millermaier, MD

Title

Cmo

Phone

(269) 552-2910

Specialties & licenses 1

Addresses

Other names 1

• Heart Failure Clinic At Borgess Doing business as

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083744122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481281",
            "telephone_number": "269-552-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGESS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLERMAIER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "269-552-2910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Failure Clinic At Borgess",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlyn Bordigon, RBT
• Aubrey Bordine
• Borenitsch Health Services, LLC
• Bryan R Borenitsch, D.C.
• Jayne Borenitsch, OTR/L, MS
• Borgess Medical Center
• Borgess Medical Center
• Borgess Medical Center
• Borgess Medical Center
• Borgess Medical Center

• Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.