Individual provider Active NPI

Paul Justin Rohr, NP-C

  • Family Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1477080844
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704255088 Issued in MI
Practice address
1717 Shaffer St Ste 232
Kalamazoo, MI 49048-1674
Phone
(269) 226-5050
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704255088 MI Primary

Addresses

Primary practice location

1717 Shaffer St Ste 232
Kalamazoo, MI 49048-1674

Mailing address

10405 W Tu Ave
Lawton, MI 49065-7616
Phone (269) 547-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002321 MI Practitioner - Nurse Practitioner 9739458670 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Sound Inpatient Physicians-Michigan PLLCGroup PAC ID 5395896849, 168 clinicians

Practice addresses (Care Compare)

1717 Shaffer St
Suite 232
Kalamazoo, MI 49048-1674
Phone (269) 226-5050

555 Linn St
Allegan, MI 49010-1524
Phone (269) 673-8424

580 W College Ave
Up Health System
Marquette, MI 49855-2736
Phone (906) 228-9440

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315
  • Beacon Allegan Hospital, Allegan, MI, CCN 231328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Nov 1, 2017 Accepting new patients
Ascension Medical Group Promed Family Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Feb 15, 2025 Accepting new patients
Ascension Borgess Hospital CurrentSince Nov 1, 2017 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Feb 15, 2025 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Apr 25, 2024 Accepting new patients
Ascension Medical Group Promed Family CurrentSince Jul 3, 2017 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Apr 25, 2024 Accepting new patients
Promed Healthcare CurrentSince Jul 3, 2017 Accepting new patients
Ascension Borgess Lee Hospital Past Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1717 Shaffer St
Ste 232
Kalamazoo, MI 49048
Phone (269) 226-5050

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1477080844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 W TU AVE",
            "city": "LAWTON",
            "state": "MI",
            "postal_code": "490657616",
            "telephone_number": "269-547-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST STE 232",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481674",
            "telephone_number": "269-226-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHR",
        "first_name": "PAUL",
        "middle_name": "JUSTIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.