NPIMap

Organization Active NPI

Healthcare Midwest PC

Doing business as HealthCare Midwest Urology

  • Urology Physician
  • Kalamazoo, MI
National Provider Identifier
1215158191
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HEALTHCARE MIDWEST PC
Doing business as
HealthCare Midwest Urology
Practice address
601 John St
Suite M206C
Kalamazoo, MI 49007-5341
Phone
(269) 349-9745
Fax
(269) 488-8305
NPI assigned
May 1, 2007
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHCARE MIDWEST, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Mr. James E McKernan
Title
Administrator
Phone
(269) 373-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

601 John St
Suite M206C
Kalamazoo, MI 49007-5341

Mailing address

4341 S Westnedge Ave
Suite 2205
Kalamazoo, MI 49008-3289
Phone (269) 373-4646

Other identifiers 1

IdentifierTypeStateIssuer
340C910480OtherMIBLUE CROSS GRP PIN

Other names 1

  • HealthCare Midwest Urology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Midwest13 organizations share this tax ID, including this one
Part of
Healthcare Midwest

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5973 Beatrice Dr
Kalamazoo, MI 49009
Phone (269) 286-7110

2854 S 11th St
Kalamazoo, MI 49009
Phone (269) 345-6197

601 John St
Ste N1200A
Kalamazoo, MI 49007
Phone (269) 341-7979

404 Hazen St
Ste 101
Paw Paw, MI 49079
Phone (269) 657-2550

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1215158191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE",
            "address_2": "SUITE 2205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083289",
            "telephone_number": "269-373-4646",
            "fax_number": "269-373-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M206C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-9745",
            "fax_number": "269-488-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MIDWEST PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE MIDWEST, PC",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "MCKERNAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-373-4646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP PIN",
            "identifier": "340C910480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Midwest Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.