Healthcare Provider Details

I. General information

NPI: 1356380182
Provider Name (Legal Business Name): PARAGON HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/02/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 N 9TH ST
KALAMAZOO MI
49009-6566
US

IV. Provider business mailing address

714 N 9TH ST
KALAMAZOO MI
49009-6566
US

V. Phone/Fax

Practice location:
  • Phone: 269-372-3700
  • Fax: 269-372-0704
Mailing address:
  • Phone: 269-372-3700
  • Fax: 269-372-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK C. RUMMEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 269-492-6500