Active NPI
Borgess Medical Center
- Nurse Practitioner
- Kalamazoo, MI
National Provider Identifier
1952322695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- BORGESS MEDICAL CENTER
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048-1640 - Phone
- (269) 226-7000
- NPI assigned
- Jul 21, 2006
- 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
- Paul Spaude, FACHE
- Title
- Ceo
- Phone
- (269) 226-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1521 Gull Rd
Kalamazoo, MI 49048-1640
Mailing address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500C91066 | Other | BCBSM | |
| 0M86380 | Other | MI | MEDICARE, OTHER |
National Provider Directory
National Provider DirectoryLocations
3198 Solutions Ctr
Chicago, IL 60677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1952322695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640",
"telephone_number": "269-226-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORGESS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "SPAUDE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "269-226-4800",
"authorized_official_credential": "FACHE"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "500C91066",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, OTHER",
"identifier": "0M86380",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
- Borgess Medical Center
- Borgess Medical Center
- Borgess Medical Center
- Borgess Medical Center (Borgess Cardiology Group)
- Borgess Medical Center
- Borgess Medical Center (Inpatient Pharmacy)
- Borgess Nursing Home Inc (Ascension Living Borgess Place)
- Borgess Pulmonary Medicine
- Preeti Borgohain, MD
- Gabriella Bornamann
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.