Organization Active NPI

Swmi Health Matters PLLC

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1619532199
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SWMI HEALTH MATTERS PLLC
Practice address
5708 Venture CT Ste a
Kalamazoo, MI 49009-2858
Phone
(269) 220-0648
Fax
(269) 220-3535
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Jennifer S Opdycke, PA-C
Title
Owner
Phone
(269) 220-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5708 Venture CT Ste a
Kalamazoo, MI 49009-2858

Mailing address

5708 Venture CT Ste a
Kalamazoo, MI 49009-2858
Phone (269) 220-0648

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2162806Swmi Health Matters, PLLC5708 Venture Court Suite a, Kalamazoo, MI 49009Certificate of waiverFeb 28, 2027

National Provider Directory

National Provider Directory

Locations

5708 Venture Ct
Ste A
Kalamazoo, MI 49009
Phone (269) 220-0648

3240 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 220-0648

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1619532199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "269-220-0648",
            "fax_number": "269-220-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 VENTURE CT STE A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092858",
            "telephone_number": "269-220-0648",
            "fax_number": "269-220-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWMI HEALTH MATTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "OPDYCKE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-220-0648",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.