Kalamazoo Endo Center LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KALAMAZOO ENDO CENTER LLC

Practice address

3300 Cooley CT
Portage, MI 49024-7430

Phone

(269) 321-3390

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon M Hohlfeld

Title

Co-Treasurer

Phone

(215) 589-9024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1790318475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 YORK RD STE 300",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COOLEY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247430",
            "telephone_number": "269-321-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO ENDO CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HOHLFELD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-TREASURER",
        "authorized_official_telephone_number": "215-589-9024"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Portage, MI
• Providers in Portage, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.