NPIMap

Organization Active NPI

Western Michigan University Sports Medicine Clinic

  • Rehabilitation Clinic/Center
  • Kalamazoo, MI
National Provider Identifier
1962457424
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WESTERN MICHIGAN UNIVERSITY SPORTS MEDICINE CLINIC
Practice address
886 Gilkison Ave
Kalamazoo, MI 49008-5445
Phone
(269) 387-3248
Fax
(269) 387-2744
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Arbogast, ATCNPI 1952367724
Title
Director
Phone
(269) 387-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MI Primary

Addresses

Primary practice location

886 Gilkison Ave
Kalamazoo, MI 49008-5445

Mailing address

886 Gilkison Ave
Kalamazoo, MI 49008-5445
Phone (269) 387-3248

National Provider Directory

National Provider Directory
Tax ID family
Western Michigan Univer16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

886 Gilkison Ave
Kalamazoo, MI 49006
Phone (269) 387-3248

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962457424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 GILKISON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085445",
            "telephone_number": "269-387-3248",
            "fax_number": "269-387-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 GILKISON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085445",
            "telephone_number": "269-387-3248",
            "fax_number": "269-387-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MICHIGAN UNIVERSITY SPORTS MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARBOGAST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-387-3255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.