Active NPI
Paragon Health, P.C.
Doing business as Park Allergy Center
- Allergy Physician
- Portage, MI
National Provider Identifier
1649234980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryOwnership & 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.
-
dba West Michigan Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Portage, MI
- NPI 1629528765
-
dba Kalamazoo Gastroenterology Hepatology
- Gastroenterology Physician
- Kalamazoo, MI
- NPI 1841254430
-
dba Southwest Michigan Dermatology
- Dermatology Physician
- Portage, MI
- NPI 1902847098
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.