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ASCENSION MEDICAL GROUP PROMED NPI 1538299631


NPI Information

NPI: 1538299631
Provider Name: ASCENSION MEDICAL GROUP PROMED
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 23D0857205

Address:
7775 ANGLING RD
PORTAGE, MI
ZIP 49024
Phone: (269) 324-8670
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ASCENSION MEDICAL GROUP PROMED is an internal medicine in Portage, 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. ASCENSION MEDICAL GROUP PROMED NPI is 1538299631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7775 ANGLING RD
PORTAGE, MI
ZIP 49024-427
Phone: (269) 324-8670

The provider's authorized official is Marina Houghton .
The authorized official title is Cfo and has the following contact phone number (269) 226-4800.

The CLIA number assigned to this NPI record is 23D0857205 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 12/30/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

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
1110C910220OTHERMICHIGANBCBSM GROUP #

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: 5/5/2024

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