NPIMap

Organization Active NPI

Healthcare Midwest PC

  • Certified Registered Nurse Anesthetist
  • Kalamazoo, MI
National Provider Identifier
1376764241
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
HEALTHCARE MIDWEST PC
Practice address
125 W Walnut St
Kalamazoo, MI 49007-5239
Phone
(269) 343-1381
Fax
(269) 343-6321
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
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

125 W Walnut St
Kalamazoo, MI 49007-5239

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
430C910670OtherMIBLUE CROSS GRP PIN

Other names 1

  • HealthCare Midwest CRNA Services Other name

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1376764241",
    "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": "125 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075239",
            "telephone_number": "269-343-1381",
            "fax_number": "269-343-6321"
        }
    ],
    "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": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP PIN",
            "identifier": "430C910670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare Midwest CRNA Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.