Organization Active NPI

Southwestern Michigan Neonatology, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1962522771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
4301042801 Issued in MI
Legal business name
SOUTHWESTERN MICHIGAN NEONATOLOGY, P.C.
Practice address
601 John St
Box 41
Kalamazoo, MI 49007-5341
Phone
(269) 341-6469
Fax
(269) 341-6236
NPI assigned
Mar 29, 2007
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
Joan Sharda, M.D.NPI 1770590176
Title
Financial Officer
Phone
(269) 341-6469

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X 4301042801 MI Primary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X 4301076137 MI
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X 4301042454 MI
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X 4301048451 MI
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080N0001X 4301046184 MI

Addresses

Primary practice location

601 John St
Box 41
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Box 41
Kalamazoo, MI 49007-5341
Phone (269) 341-6469

National Provider Directory

National Provider Directory

Locations

601 John St
Ste E352
Kalamazoo, MI 49007
Phone (269) 341-6475

601 John St
#41
Kalamazoo, MI 49007
Phone (269) 341-6469

601 John St
Ste 41
Kalamazoo, MI 49007

Practitioners & affiliated clinicians

Practitioners 11

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962522771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 41",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6469",
            "fax_number": "269-341-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 41",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6469",
            "fax_number": "269-341-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN MICHIGAN NEONATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARDA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "269-341-6469",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301042801",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301076137",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301042454",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301048451",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301046184",
            "primary": false
        }
    ],
    "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.