Healthcare Provider Details

I. General information

NPI: 1134036726
Provider Name (Legal Business Name): PARAGON HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5835 VENTURE PARK DR
KALAMAZOO MI
49009-1849
US

IV. Provider business mailing address

5835 VENTURE PARK DR
KALAMAZOO MI
49009-1849
US

V. Phone/Fax

Practice location:
  • Phone: 269-599-3577
  • Fax:
Mailing address:
  • Phone: 269-599-3577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA MAKELA-WALTERS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 269-599-3577