Premier Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301041454 Issued in MI

Legal business name

PREMIER CARDIOLOGY PC

Practice address

1722 Shaffer St
Suite 1
Kalamazoo, MI 49048-1633

Phone

(269) 381-3963

Fax

(269) 381-2809

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Evalt Ayerdi, M.D.

Title

Managing Partner

Phone

(269) 381-3963

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald James Zegerius, MD

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
  • NPI 1629053368
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104952019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST",
            "address_2": "SUITE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963",
            "fax_number": "269-381-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYERDI",
        "authorized_official_first_name": "EVALT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "269-381-3963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301041454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry W Pratt, M.D.
• Joanna Bree Pratt, LMSW
• Kennedy Pratt
• Precious Care Assisted Living LLC
• Precious Companions Homecare LLC
• Premier Dialysis Service West Michigan LLC
• Premier Medical Care
• Premier Medical Care P C
• Premier Medical Care PC
• Premier Medical Care PC

• Cardiovascular Disease Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Cardiovascular Disease Physician 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.