NPIMap

Organization Active NPI

Ascension Borgess Hospital

Doing business as Borgess Trauma Services

  • Trauma Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1336279827
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
ASCENSION BORGESS HOSPITAL
Doing business as
Borgess Trauma Services
Practice address
1535 Gull Rd
Suite 005
Kalamazoo, MI 49048-1650
Phone
(269) 226-6917
NPI assigned
Mar 6, 2007
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Marina Houghton
Title
Cfo
Phone
(269) 226-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

1535 Gull Rd
Suite 005
Kalamazoo, MI 49048-1650

Mailing address

1717 Shaffer Street
Suite 002
Kalamazoo, MI 49048
Phone (269) 552-2830

Other identifiers 1

IdentifierTypeStateIssuer
020C961250OtherMIBCBSM GROUP #

Other names 1

  • Borgess Trauma Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000029 MI Part B Supplier - Clinic/Group Practice 5294645750 Receives reassigned benefits from 305 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kalamazoo, MI; Paw Paw, MI; Plainwell, MI; Portage, MI; South Haven, MI; Sturgis, MI; Three Rivers, MI; Watervliet, MI…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1336279827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER STREET",
            "address_2": "SUITE 002",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "telephone_number": "269-552-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 005",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-226-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION BORGESS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "269-226-4800"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP #",
            "identifier": "020C961250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borgess Trauma Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Borgess Trauma Services",
            "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 Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.