Organization Active NPI

Michigan Heart Center PC

  • Health Service Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1669524963
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4301035735 Issued in MI
Legal business name
MICHIGAN HEART CENTER PC
Practice address
1535 Gull Rd
Suite 210
Kalamazoo, MI 49048-1650
Phone
(269) 343-0980
Fax
(269) 343-4208
NPI assigned
Jan 17, 2007
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mrs. Stephanie A Curtice
Title
Office Manager
Phone
(269) 343-0980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4301035735 MI Primary

Addresses

Primary practice location

1535 Gull Rd
Suite 210
Kalamazoo, MI 49048-1650

Mailing address

1535 Gull Rd
Suite 210
Kalamazoo, MI 49048-1650
Phone (269) 343-0980

Other identifiers 3

IdentifierTypeStateIssuer
101252559MedicaidMI
1679512636OtherMIINDIVIDUAL NPI ID NUMBER
0393217OtherMIBLUE CROSS BLUE SHIELD OF MI

National Provider Directory

National Provider Directory

Locations

1535 Gull Rd
Ste 210
Kalamazoo, MI 49048
Phone (269) 343-0980

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1669524963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 210",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-343-0980",
            "fax_number": "269-343-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 210",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-343-0980",
            "fax_number": "269-343-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEART CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "CURTICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-343-0980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "4301035735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101252559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ID NUMBER",
            "identifier": "1679512636",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI",
            "identifier": "0393217",
            "state": "MI"
        }
    ],
    "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 May 1, 2008; 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.