ASCENSION MEDICAL GROUP PROMED
NPI 1497709869
Family Medicine in Portage, MI
NPI Status: Active since May 20, 2006
Contact Information
7901 ANGLING RD
PORTAGE, MI
ZIP 49024
Phone: (269) 552-2912
Fax: (269) 552-2835
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 23D0858758
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-08-2026
About ASCENSION MEDICAL GROUP PROMED
This page provides the complete NPI Profile along with additional information for Ascension Medical Group Promed, a primary care provider established in Portage, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1497709869 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. 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
- 1497709869
- Provider Name
- ASCENSION MEDICAL GROUP PROMED
- Entity Type
- Organization
- Location Address
- 7901 ANGLING RD PORTAGE, MI 49024
- Location Phone
- (269) 552-2912
- Location Fax
- (269) 552-2835
- Mailing Address
- 1717 SHAFFER ST STE 2 KALAMAZOO, MI 49048
- Mailing Phone
- (269) 226-5607
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 12-30-2022
- Code Navigator
A primary care provider (PCP) like Ascension Medical Group Promed sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 5 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 6 | 251J00000X | Agencies | Nursing Care |
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
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - 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
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - 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� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - 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
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Bronson Healthcare Partners - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Bronson Healthcare Partners - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze Bronson Healthcare Partners - HMO
- MyPriority Value Bronze HSA - HMO
- MyPriority Value Bronze HSA Bronson Healthcare Partners - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 23D0858758
- Facility Type
- Physician Office
- Certificate Effective Date
- September 09, 2024
- Certificate Expiration Date
- September 08, 2026
- Laboratory Director
- JOHN L. BRADTKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ascension Medical Group Promed to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 4 | 9 | 7 | 7 | 0 | 9 | 8 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 0 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 0 + 1 + 8 + 8 + 1 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1497709869 is valid because the calculated check digit 9 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497724751 | DR. TERESA BAILEY KLEPSER PHARMD Individual | Pharmacist (Pharmacotherapy) | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8469 |
| 1447294574 | LINDA M CAMPBELL PA Individual | Family Medicine | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8600 |
| 1396851473 | ALLAN FAUST PA-C Individual | Physician Assistant | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8405 |
| 1558477125 | DANIEL GOLDBERGER Individual | Family Medicine | 7901 ANGLING RD STE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1689780272 | PATRICIA HAGERMAN Individual | Nurse Practitioner | 7901 ANGLING RD STE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1871600015 | KEVIN HOLLEMAN Individual | Family Medicine | 7901 ANGLING RD SUITE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1669589818 | DENNIS KONZEN Individual | Family Medicine | 7901 ANGLING RD SUITE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1407963531 | DAVID MAKOWSKI Individual | Family Medicine | 7901 ANGLING RD SUITE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1164534582 | MARY ELLEN YEALIN Individual | Nurse Practitioner | 7901 ANGLING RD SUITE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1508978990 | WOODBRIDGE CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8406 |
| 1568543502 | MARK VANDERMYDE Individual | Physician Assistant | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8405 |
| 1235297557 | BORGESS MEDICAL CENTER Organization | Physician Assistant | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8405 |
| 1457548729 | DR. AUDBERTO CESAR ANTONINI M.D. Individual | Internal Medicine | 7901 ANGLING RD PORTAGE, MI 49024 (269) 226-8253 |
| 1881999464 | BORGESS MEDICAL CENTER Organization | Clinic/Center (Urgent Care) | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8405 |
| 1609142447 | GREAT LAKES ANESTHESIA CONSULTANTS PLLC Organization | Anesthesiology | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8406 |
| 1063886505 | PAMELA BARTLEY Individual | Physician Assistant | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8600 |
| 1174618052 | LAWRENCE ULMER Individual | Family Medicine | 7901 ANGLING RD SUITE B-201 PORTAGE, MI 49024 (269) 324-8600 |
| 1235546722 | KATHERINE MCLELLAN PATIL N.P. Individual | Nurse Practitioner (Family) | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8600 |
| 1083901342 | MISS FRANCESCA ROSE MCQUEEN DO Individual | Emergency Medicine | 7901 ANGLING RD PORTAGE, MI 49024 (269) 226-5962 |
| 1114551777 | KELSEY LANKFORD NP Individual | Nurse Practitioner (Family) | 7901 ANGLING RD PORTAGE, MI 49024 (269) 324-8600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497709869, enumerated in the NPI registry as an "organization" on May 20, 2006
The provider is located at 7901 Angling Rd Portage, Mi 49024 and the phone number is (269) 552-2912
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D0858758 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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