Active NPI
Paragon Health, PC
Doing business as Paragon Colonoscopy
- Colon & Rectal Surgery Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- PARAGON HEALTH, PC
- Doing business as
- Paragon Colonoscopy
- Practice address
- 1815 Henson Ave
Kalamazoo, MI 49048-1510 - Phone
- (269) 492-6502
- Fax
- (269) 492-6461
- NPI assigned
- Apr 14, 2023
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000099 | MI | Part B Supplier - Clinic/Group Practice | 1658283007 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Three Rivers, MI; Allegan, MI; Sturgis, MI; Kalamazoo, MI; Battle Creek, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Advanced Vascular Surgery
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1487619136
O20031105000099
National Provider Directory
National Provider Directory- Tax ID family
- Nephrology Center
- Part of
- Nephrology Center
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Kalamazoo, MI
- NPI 1134036726
-
dba Haller Rowe Haviland Ophthalmology DME
- Durable Medical Equipment & Medical Supplies
- Kalamazoo, MI
- NPI 1497978928
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kalamazoo, MI
- NPI 1881618338
Locations
6938 Elm Valley Dr
Ste 105
Kalamazoo, MI 49009
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Kalamazoo, MI
- NPI 1285698134
-
- 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
- Paragon Health PC
- Paragon Health, P.C. (Kalamazoo Gastroenterology Hepatology)
- Paragon Health, PC (Nephrology Center)
- Paragon Health, PC (Paragon Ophthalmology)
- Paragon Health, PC (Advanced Vascular Surgery)
- Parent to Parent of SW Mi
- Raxit Parikh, DO
- Mikaela Parish
- Park Place Counseling & Associate PLC
- Grace B. Park
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.