ADVANCED VASCULAR SURGERY – NPI #1487619136
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ADVANCED VASCULAR SURGERY is a surgeon located in KALAMAZOO, MI. NPPES has assigned the NPI number 1487619136 to ADVANCED VASCULAR SURGERY on April 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED VASCULAR SURGERY” is a dba name, the actual legal business name for this organization is PARAGON HEALTH, PC. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on Jan 12, 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 ADVANCED VASCULAR SURGERY below.

NPI Profile for
PARAGON HEALTH, PC

NPI Number
1487619136
Enumeration Date

(more than 20 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
PARAGON HEALTH, PC
Doing Business As (dba): ADVANCED VASCULAR SURGERY
Primary location
1815 HENSON AVE
KALAMAZOO, MI 49048-1510
Phone: (269) 492-6507 Fax: (269) 492-6461
Mailing address
Same as primary location
Organization Subpart
Yes - ADVANCED VASCULAR SURGERY is subpart of another organization.
Authorized Official
MARK RUMMEL
PRESIDENT
Phone: (269) 492-6500
Updated
Certification Date
Jan 12, 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 ADVANCED VASCULAR SURGERY

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
OTHERBCBSM - BMHMI1417961137
OTHERBLUE CARE NETWORKMIG00142
OTHERBLUE CROSS BLUE SHIELDMI020C910340
MEDICAIDMI1013972769
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
2086S0129X
- Surgery / Vascular Surgery (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.