ASCENSION MEDICAL GROUP PROMED – NPI #1437201811
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

ASCENSION MEDICAL GROUP PROMED is a provider located in KALAMAZOO, MI. NPPES has assigned the NPI number 1437201811 to ASCENSION MEDICAL GROUP PROMED on January 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 3 years ago on Dec 30, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASCENSION MEDICAL GROUP PROMED below.

NPI Profile for
ASCENSION MEDICAL GROUP PROMED

NPI Number
1437201811
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASCENSION MEDICAL GROUP PROMED
Primary location
1535 GULL RD STE 250
KALAMAZOO, MI 49048-1661
Phone: (269) 226-5927 Fax:
1 Other location(s):
7901 Angling Rd
Portage, MI 49024-0714
Phone: (269) 321-7000
Mailing address
1717 SHAFFER ST STE 2
KALAMAZOO, MI 49048-1623
Phone: (269) 552-2836 Fax:
Organization Subpart
No
Authorized Official
MARINA HOUGHTON
CFO
Phone: (269) 226-4800
Updated
Certification Date
Dec 30, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASCENSION MEDICAL GROUP PROMED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSM160C910900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.