Active NPI
Promed Healthcare
Doing business as Borgess Women's Health
- Advanced Practice Midwife
- Kalamazoo, MI
National Provider Identifier
1154451250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- PROMED HEALTHCARE
- Doing business as
- Borgess Women's Health
- Practice address
- 1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650 - Phone
- (269) 226-5927
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650
Mailing address
5943 Stadium Dr
Suite 3
Kalamazoo, MI 49009-3016
Other names 1
- Borgess Women's Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0991025 | Ascension Borgess Women's Health | Certificate of waiver | May 30, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": "1154451250",
"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": "1535 GULL RD",
"address_2": "SUITE 250",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-226-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMED HEALTHCARE",
"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": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Borgess Women's Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Promed Healthcare
- Promed Healthcare
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- Promed Healthcare
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Sources for this page
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.