Provider Type Icon

DR. WILLIAM KEVIN CLEGG M.D. NPI 1841241288


NPI Information

NPI: 1841241288
Provider Name: DR. WILLIAM KEVIN CLEGG, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1535 GULL RD
MSB 015
KALAMAZOO, MI
ZIP 49048
Phone: (269) 226-6933
Get Directions

DR. William Kevin Clegg, M.D. is an emergency medicine in Kalamazoo, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. William Kevin Clegg, M.D. NPI is 1841241288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1535 GULL RD
MSB 015
KALAMAZOO, MI
ZIP 49048-650
Phone: (269) 226-6933
Fax: (269) 226-6949

The NPI 1841241288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 10/1/2012.


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
1207P00000XEmergency Medicine4301048366MICHIGANYes

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
1700G560080OTHERMICHIGANBCBS GROUP-THREE RIVERS HEALTH
2930084286MEDICARE PINMICHIGAN
30C96038003MEDICARE PINMICHIGAN
4230015MEDICARE OSCAR/CERTIFICATIONMICHIGAN
5G56008021MEDICARE ID-TYPE UNSPECIFIEDMICHIGANTHREE RIVERS HEALTH
6104155817MEDICAIDMICHIGAN
70M90900009MEDICARE PINMICHIGAN
8101640139MEDICAIDMICHIGAN
92637156-10MEDICAIDMICHIGAN
10WC048366OTHERMICHIGANBLUE CROSS BLUE SHIELD

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.