NPIMap

Organization Active NPI

Healthcare Midwest PC

Doing business as HealthCare Midwest General & Vascular Surgery

  • Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1245451129
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HEALTHCARE MIDWEST PC
Doing business as
HealthCare Midwest General & Vascular Surgery
Practice address
601 John St
Suite M283
Kalamazoo, MI 49007-5341
Phone
(269) 349-7696
Fax
(269) 343-0610
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
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

601 John St
Suite M283
Kalamazoo, MI 49007-5341

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
020C91020OtherMIBLUE CROSS GRP PIN

Other names 1

  • HealthCare Midwest General & Vascular Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dale G Moore RN13 organizations share this tax ID, including this one
Part of
Dale G Moore RN

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1245451129",
    "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 M283",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-7696",
            "fax_number": "269-343-0610"
        }
    ],
    "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP PIN",
            "identifier": "020C91020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Midwest General & Vascular Surgery",
            "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.