PREMIER CARDIOLOGY PC NPI 1104952019

NPI Information

  • NPI: 1104952019
  • Provider Name: PREMIER CARDIOLOGY PC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 1722 SHAFFER ST
    SUITE 1
    KALAMAZOO, MI
    ZIP 49048
  • Phone: (269) 381-3963

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NPI Details

PREMIER CARDIOLOGY PC is a cardiovascular disease internal medicine in Kalamazoo, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PREMIER CARDIOLOGY PC NPI is 1104952019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1722 SHAFFER ST
SUITE 1
KALAMAZOO, MI
ZIP 49048-633
Phone: (269) 381-3963
Fax: (269) 381-2809

The provider's authorized official is Evalt Ayerdi .
The authorized official title is Managing Partner and has the following contact phone number (269) 381-3963.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 8/22/2020.

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
1207RC0000XInternal MedicineCardiovascular Disease4301041454MICHIGANYes

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: 11/21/2025

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