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ASCENSION MEDICAL GROUP PROMED
NPI 1013926997
Pediatrics in Sturgis, MI

Active since August 07, 2006CLIA 23D1077310 · Waiver
1555 E CHICAGO RD, STURGIS, MI 49091(269) 651-7114 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2022, Feb 22, 2018 (2 updates tracked since 2018).

About Ascension Medical Group Promed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASCENSION MEDICAL GROUP PROMED (NPI 1013926997) is a healthcare organization registered as a pediatrics in Sturgis, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Marin Houghton, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013926997
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameASCENSION MEDICAL GROUP PROMED
Location Address1555 E CHICAGO RDSturgis, MI 49091-1993
Mailing Address1717 Shaffer St Ste 2Kalamazoo, MI 49048-1623 · (269) 552-2836
Phone(269) 651-7114
Organization SubpartNo
Authorized OfficialMarin HoughtonCfo · (269) 226-4800
Enumeration DateAugust 7, 2006
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1013926997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
1555 E CHICAGO RD, Sturgis, MI 49091
Open in Google Maps ↗

Other Identifiers 1

Other350C910110Bcbsm

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1077310

Ascension Medical Group Promed · Kalamazoo, MI
Active · expires Dec 5, 2027
CLIA Number23D1077310
Laboratory TypeAnticoagulation Clinic
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorRyan Jamoua
Laboratory Phone(269) 567-2411
Laboratory LocationAscension Medical Group Promed1722 Shaffer Street Suite 123, Kalamazoo, MI 49048
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY KUHBANDER
Nurse Practitioner
1555 E CHICAGO RD
STURGIS, MI 49091
St. Joseph County (269) 633-4108
STURGIS HOSPITAL, INC.
Clinic/Center (Rural Health)
1555 E CHICAGO RD
STURGIS, MI 49091
St. Joseph County (269) 651-7114
MRS. AMY M HACKMAN NP
Nurse Practitioner
1555 E CHICAGO RD
STURGIS, MI 49091
St. Joseph County (269) 651-7114
MRS. TRINA BOYLES NP-C
Nurse Practitioner (Family)
1555 E CHICAGO RD
STURGIS, MI 49091
St. Joseph County (269) 651-7114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ascension Medical Group Promed's NPI number?

The NPI number for Ascension Medical Group Promed is 1013926997. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Ascension Medical Group Promed located?

Ascension Medical Group Promed is located at 1555 E Chicago Rd, Sturgis, MI 49091. The listed phone number is (269) 651-7114.

What is Ascension Medical Group Promed's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ascension Medical Group Promed hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1077310) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ascension Medical Group Promed accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ascension Medical Group Promed as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ascension Medical Group Promed was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.