Active NPI
Kalamazoo Cardiology PC
- Cardiovascular Disease Physician
- Battle Creek, MI
National Provider Identifier
1417016502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- KALAMAZOO CARDIOLOGY PC
- Doing business as
- Battle Creek Cardiology
- Practice address
- 363 Fremont St
Suite 101
Battle Creek, MI 49017-3389 - Phone
- (269) 965-3521
- Fax
- (269) 965-8715
- NPI assigned
- Dec 6, 2006
- Organization subpart
- Yes
- Parent organization
- KALAMAZOO CARDIOLOGY, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen L Peck, MD
- Title
- President
- Phone
- (269) 381-3521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
363 Fremont St
Suite 101
Battle Creek, MI 49017-3389
Mailing address
1535 Gull Rd
Suite 205
Kalamazoo, MI 49048-1650
Phone (269) 381-3521
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB0388 | Other | MI | RAILROAD MEDICARE |
Other names 1
- Battle Creek Cardiology
National Provider Directory
National Provider Directory- Tax ID family
- Kalamazoo Cardiology
- Part of
- Kalamazoo Cardiology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Dowagiac, MI
- NPI 1912074089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1417016502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 GULL RD",
"address_2": "SUITE 205",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481650",
"telephone_number": "269-381-3521",
"fax_number": "269-381-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 FREMONT ST",
"address_2": "SUITE 101",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173389",
"telephone_number": "269-965-3521",
"fax_number": "269-965-8715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALAMAZOO CARDIOLOGY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KALAMAZOO CARDIOLOGY, PC",
"enumeration_date": "2006-12-06",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-381-3521",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB0388",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Battle Creek Cardiology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.