ASCENSION MEDICAL GROUP PROMED
NPI 1720009954
Internal Medicine in Kalamazoo, MI
NPI Status: Active since July 22, 2006
Contact Information
1717 SHAFFER ST
STE 124
KALAMAZOO, MI
ZIP 49048
Phone: (269) 344-5552
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 23D0376741
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About ASCENSION MEDICAL GROUP PROMED
This page provides the complete NPI Profile along with additional information for Ascension Medical Group Promed, an internist established in Kalamazoo, Michigan operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720009954 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Ascension Medical Group Promed operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Marina Houghton (Cfo)
- NPI
- 1720009954
- Provider Name
- ASCENSION MEDICAL GROUP PROMED
- Entity Type
- Organization
- Location Address
- 1717 SHAFFER ST STE 124 KALAMAZOO, MI 49048
- Location Phone
- (269) 344-5552
- Mailing Address
- 1717 SHAFFER ST STE 2 KALAMAZOO, MI 49048
- Mailing Phone
- (269) 552-2836
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 12-30-2022
- Code Navigator
An internist like Ascension Medical Group Promed is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine | (MI) |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 8 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 9 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700C910600 | OTHER (01) | BCBSM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0376741
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- JENNIFER PRYOR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ascension Medical Group Promed on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for ASCENSION MEDICAL GROUP PROMED
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 0 | 9 | 9 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 0 | 18 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 0 + 1 + 8 + 9 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1720009954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. WILLIAM BERNARD CAMPBELL MD
Internal Medicine
(Cardiovascular Disease)
1717 SHAFFER ST
SUITE 232
KALAMAZOO, MI
ZIP 49048
CHERYL A MITCHELL APRN
Nurse Practitioner
1717 SHAFFER ST
SUITE 232
KALAMAZOO, MI
ZIP 49048
JOSEPH CALLES M.D.
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
DAVID DUNSTONE M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
MARITZA E LAGOS-SAEZ M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
ROBERTO FLACHIER PH.D.
Psychologist
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
ROBERT D STRUNG M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
RUQIYA SHAMA TAREEN M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
PERRY S WESTERMAN M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
JAMES BAILEY BABEL M.D.
Surgery
1717 SHAFFER ST
SUITE 108
KALAMAZOO, MI
ZIP 49048
THOMAS JOSEPH ROHS JR. MD
Surgery
1717 SHAFFER ST
SUITE 108
KALAMAZOO, MI
ZIP 49048
STUART RAY VERSEMAN M.D.
Surgery
1717 SHAFFER ST
SUITE 108
KALAMAZOO, MI
ZIP 49048
DANIEL ELLIOTT STEWART M.D.
Surgery
1717 SHAFFER ST
SUITE 108
KALAMAZOO, MI
ZIP 49048
MICHAEL VALITUTTO DO
Internal Medicine
1717 SHAFFER ST
STE 229
KALAMAZOO, MI
ZIP 49048
JOANNA GRITTER
Dietitian, Registered
1717 SHAFFER ST
KALAMAZOO, MI
ZIP 49048
MRS. WENDY STUEBS MS, RD, CDE
Dietitian, Registered
1717 SHAFFER ST
NORTH PROFESSIONAL BLDG. SUITE 229
KALAMAZOO, MI
ZIP 49048
NIRANJAN LAL MD PC
Internal Medicine
1717 SHAFFER ST
SUITE 018
KALAMAZOO, MI
ZIP 49048
AHSAN NAZEER M.D.
Psychiatry & Neurology
(Psychiatry)
1717 SHAFFER ST
SUITE 010
KALAMAZOO, MI
ZIP 49048
JOYCE L BYERS NP
Nurse Practitioner
(Family)
1717 SHAFFER ST
229
KALAMAZOO, MI
ZIP 49048
ACCESS MEDICAL
Durable Medical Equipment & Medical Supplies
1717 SHAFFER ST
KALAMAZOO, MI
ZIP 49048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720009954, enumerated as an "organization" on July 22, 2006.
The provider is located at 1717 SHAFFER ST STE 124 KALAMAZOO, MI 49048 and the phone number is (269) 344-5552.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.
