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PARAGON HEALTH PC NPI 1487619136


NPI Information

NPI: 1487619136
Provider Name: PARAGON HEALTH, PC

Doing Business As: ADVANCED VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 23D2023390

Address:
1815 HENSON AVE
KALAMAZOO, MI
ZIP 49048
Phone: (269) 492-6507
Get Directions

PARAGON HEALTH, PC is a vascular surgery surgery in Kalamazoo, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PARAGON HEALTH, PC NPI is 1487619136. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Vascular Surgery.

The provider's business location address is:

1815 HENSON AVE
KALAMAZOO, MI
ZIP 49048-510
Phone: (269) 492-6507
Fax: (269) 492-6461

The provider's authorized official is Mark C. Rummel .
The authorized official title is President and has the following contact phone number (269) 492-6500.

The CLIA number assigned to this NPI record is 23D2023390 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 1/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417961137OTHERMICHIGANBCBSM - BMH
21013972769MEDICAIDMICHIGAN
3020C910340OTHERMICHIGANBLUE CROSS BLUE SHIELD
4G00142OTHERMICHIGANBLUE CARE NETWORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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