Active NPI
Paragon Health, PC
- Colon & Rectal Surgery Physician
- Kalamazoo, MI
National Provider Identifier
1992491690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- PARAGON HEALTH, PC
- Practice address
- 1815 Henson Ave
Kalamazoo, MI 49048-1510 - Phone
- (269) 492-6502
- Fax
- (269) 492-6461
- NPI assigned
- Apr 14, 2023
- Organization subpart
- Yes
- Parent organization
- PARAGON HEALTH, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark C Rummel, MD
- Title
- President
- Phone
- (269) 492-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
1815 Henson Ave
Kalamazoo, MI 49048-1510
Mailing address
1815 Henson Ave
Kalamazoo, MI 49048-1510
Phone (269) 492-6502
Other names 1
- Paragon Colonoscopy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Paragon Health PC
- Part of
- Paragon Health PC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Kalamazoo, MI
- NPI 1154155695
-
- Pediatrics Physician
- Kalamazoo, MI
- NPI 1356380182
-
- Pediatrics Physician
- Portage, MI
- NPI 1427848845
-
- Durable Medical Equipment & Medical Supplies
- Kalamazoo, MI
- NPI 1497978928
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kalamazoo, MI
- NPI 1881618338
-
- Ophthalmology Physician
- Kalamazoo, MI
- NPI 1275582249
Locations
6938 Elm Valley Dr
Ste 105
Kalamazoo, MI 49009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Kalamazoo, MI
- NPI 1215904305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1992491690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 HENSON AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481510",
"telephone_number": "269-492-6502",
"fax_number": "269-492-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 HENSON AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481510",
"telephone_number": "269-492-6502",
"fax_number": "269-492-6461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON HEALTH, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARAGON HEALTH, PC",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "RUMMEL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-492-6500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paragon Colonoscopy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.