Organization Active NPI

Paragon Health, P.C.

Doing business as Park Allergy Center

  • Allergy Physician
  • Portage, MI
National Provider Identifier
1649234980
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
PARAGON HEALTH, P.C.
Doing business as
Park Allergy Center
Practice address
430 W Centre Ave
Portage, MI 49024-5304
Phone
(269) 321-6673
Fax
(269) 324-5594
NPI assigned
Apr 13, 2006
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mr. Sanjay P. Dalal, M.D.
Title
President
Phone
(269) 341-4554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MI
Allergy Physician 207KA0200X MI Primary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X MI

Addresses

Primary practice location

430 W Centre Ave
Portage, MI 49024-5304

Mailing address

430 W Centre Ave
Portage, MI 49024-5304
Phone (269) 321-6673

Other names 1

  • Park Allergy Center Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1649234980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245304",
            "telephone_number": "269-321-6673",
            "fax_number": "269-324-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245304",
            "telephone_number": "269-321-6673",
            "fax_number": "269-324-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-341-4554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.