Kyle W Ploehn, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003960 Issued in MI

Practice address

5161 B Dr S
Suite a
Battle Creek, MI 49015-9345

Phone

(269) 969-6099

NPI assigned

Sep 12, 2007

Last updated

Aug 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Housecall

  • Adult Health Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1811384308
  NPD (past)
• Access Medical Management, Inc.

  dba Ensure Care

  • Geriatric Medicine (Family Medicine) Physician
  • Kalamazoo, MI
  • NPI 1003143496
  NPD (past)
• Vitality Group Inc

  dba Vitality Health Services inc

  • Home Health Agency
  • Southfield, MI
  • NPI 1316194210
  NPD (past)
• Vitality Home Health Services,Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Portage, MI
  • NPI 1992252191
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1437344587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N. MAIN STREET",
            "address_2": "SUITE 301",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181807",
            "telephone_number": "734-222-8200",
            "fax_number": "734-222-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 B DR S",
            "address_2": "SUITE A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159345",
            "telephone_number": "269-969-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOEHN",
        "first_name": "KYLE",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Omarr Pitts III
• Kelly Pixley, MS, OTR/L
• Zayda Noemi Pizarro, RPH
• William Plemmons, R.PH
• Leah Plescia, OD
• Krystal Lee Plunkett, CMA
• Stephany Lynn Poindexter, D.C.
• Taneisha Pointer
• Patsee Polhamus
• Kristen Marie Pollich, M.A-SLP/CFY

• Medical Physician Assistant in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.