Active NPI
Westside Family Medical Center, PC
- Family Medicine Physician
- Kalamazoo, MI
National Provider Identifier
1407886377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTSIDE FAMILY MEDICAL CENTER, PC
- Practice address
- 6565 W Main St
Kalamazoo, MI 49009-6114 - Phone
- (269) 375-0400
- Fax
- (269) 372-8478
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda Marie Williams, MPA
- Title
- Administrator
- Phone
- (269) 375-0400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
6565 W Main St
Kalamazoo, MI 49009-6114
Mailing address
6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 375-0400
National Provider Directory
National Provider DirectoryLocations
6565 W Main St
Ste 200
Kalamazoo, MI 49009
Phone (616) 372-2860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Battle Creek, MI
- NPI 1932534872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1407886377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096114",
"telephone_number": "269-375-0400",
"fax_number": "269-372-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096114",
"telephone_number": "269-375-0400",
"fax_number": "269-372-8478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE FAMILY MEDICAL CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "269-375-0400",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.