John T. Cerovski, M.D., PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43 01 034602 Issued in MI

Legal business name

JOHN T. CEROVSKI, M.D., PC

Practice address

820 John St
Ste. 103
Kalamazoo, MI 49001-2870

Phone

(269) 345-8626

Fax

(269) 345-3032

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

John Thomas Cerovski, MD

Title

President

Phone

(269) 345-8626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1700194248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JOHN ST",
            "address_2": "STE. 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012870",
            "telephone_number": "269-345-8626",
            "fax_number": "269-345-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JOHN ST",
            "address_2": "STE. 103",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012870",
            "telephone_number": "269-345-8626",
            "fax_number": "269-345-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. CEROVSKI, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "CEROVSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-345-8626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "43 01 034602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.