Active NPI
Paragon Health, PC
- Vascular Surgery Physician
- Kalamazoo, MI
National Provider Identifier
1487619136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- PARAGON HEALTH, PC
- Practice address
- 1815 Henson Ave
Kalamazoo, MI 49048-1510 - Phone
- (269) 492-6507
- Fax
- (269) 492-6461
- NPI assigned
- Apr 18, 2006
- Organization subpart
- Yes
- Parent organization
- PARAGON HEALTH PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark C. Rummel, MD
- Title
- President
- Phone
- (269) 492-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1815 Henson Ave
Kalamazoo, MI 49048-1510
Mailing address
1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone (269) 492-6507
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G00142 | Other | MI | BLUE CARE NETWORK |
| 020C910340 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1013972769 | Medicaid | MI | |
| 1417961137 | Other | MI | BCBSM - BMH |
Other names 1
- Advanced Vascular Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Plastic and Reconstructive Surgery Physician
- Portage, MI
- NPI 1629528765
1658283007
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Paragon Health PC
Locations
570 Linn St
Allegan, MI 49010
Phone (269) 686-4275
360 E Chicago St
Ste 103
Coldwater, MI 49036
Phone (517) 278-2970
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1285698134
-
- Colon & Rectal Surgery Physician
- Kalamazoo, MI
- NPI 1215904305
-
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1235337726
-
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1235121989
-
- Nurse Practitioner
- Kalamazoo, MI
- NPI 1457008617
-
- Acute Care Nurse Practitioner
- Kalamazoo, MI
- NPI 1720375710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1487619136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 HENSON AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481510",
"telephone_number": "269-492-6507",
"fax_number": "269-492-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 HENSON AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481510",
"telephone_number": "269-492-6507",
"fax_number": "269-492-6461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON HEALTH, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARAGON HEALTH PC",
"enumeration_date": "2006-04-18",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "RUMMEL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-492-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "G00142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "020C910340",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013972769",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - BMH",
"identifier": "1417961137",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Vascular Surgery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Vascular Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.