NPIMap

Organization Active NPI

Healthcare Midwest PC

Doing business as HealthCare Midwest ENT Head & Neck Surgery Care

  • Otolaryngology Physician
  • Kalamazoo, MI
National Provider Identifier
1285855189
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HEALTHCARE MIDWEST PC
Doing business as
HealthCare Midwest ENT Head & Neck Surgery Care
Practice address
601 John St
Suite M273
Kalamazoo, MI 49007-5341
Phone
(269) 381-0180
Fax
(269) 381-7347
NPI assigned
May 1, 2007
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
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

601 John St
Suite M273
Kalamazoo, MI 49007-5341

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
040C910710OtherMIBLUE CROSS GRP PIN

Other names 1

  • HealthCare Midwest ENT Head & Neck Surgery Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Midwest PC a13 organizations share this tax ID, including this one
Part of
Healthcare Midwest PC a

Other organizations with this tax ID 12

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 7

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

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": "1285855189",
    "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 M273",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-381-0180",
            "fax_number": "269-381-7347"
        }
    ],
    "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": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP PIN",
            "identifier": "040C910710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Midwest ENT Head & Neck Surgery Care",
            "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.