Individual provider Active NPI

Michael Hardiman

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
National Provider Identifier
1881701027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101009431 Issued in MI
Practice address
1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650
Phone
(269) 226-5927
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101009431 MI Primary

Addresses

Primary practice location

1535 Gull Rd
Suite 250
Kalamazoo, MI 49048-1650

Mailing address

5943 Stadium Dr
Suite 3
Kalamazoo, MI 49009-3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090430000541 MI Practitioner - Obstetrics/Gynecology 1759439755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Michigan Inc Obstetrics & Gynecology CurrentSince Apr 1, 2001 Accepting new patients
Promed Healthcare CurrentSince Apr 1, 2001 Accepting new patients
Beacon Medical Group Michigan Inc Current Accepting new patients

Locations

1535 Gull Rd
Ste 200
Kalamazoo, MI 49048
Phone (269) 388-6350

1535 Gull Rd
Ste 250
Kalamazoo, MI 49048
Phone (269) 226-5927

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

7895 Currier Dr
Portage, MI 49002
Phone (269) 321-7120

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881701027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 GULL RD",
            "address_2": "SUITE 250",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481650",
            "telephone_number": "269-226-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIMAN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101009431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.