HEALTHCARE MIDWEST PC NPI 1093936999

NPI Information

NPI: 1093936999
Provider Name: HEALTHCARE MIDWEST PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Doing Business As: LIFETIME WELLNESS IN INTERNAL MEDICINE & PEDIATRICS A DIVISION OF HEAL
Address: 4613 W MAIN ST
SUITE A
KALAMAZOO, MI
ZIP 49006
Phone: (269) 488-8672

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NPI Details

HEALTHCARE MIDWEST PC is an internal medicine in Kalamazoo, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. HEALTHCARE MIDWEST PC NPI is 1093936999. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifetime Wellness In Internal Medicine & Pediatrics A Division Of Heal.

The provider's business location address is:

4613 W MAIN ST
SUITE A
KALAMAZOO, MI
ZIP 49006-645
Phone: (269) 488-8672
Fax: (269) 488-8673

The provider's authorized official is James E Mckernan .
The authorized official title is Administrator and has the following contact phone number (269) 373-4646.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	207R00000X	Internal Medicine				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110C913020	OTHER	MICHIGAN	BLUE CROSS GRP PIN
2	=========	OTHER		EIN-HEALTHCARE MIDWEST

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: 3/30/2025

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