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NPI Code Detail

MEDICARE: KIMBERLY SUE UMHOEFER DO

MEDICARE: KIMBERLY SUE UMHOEFER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician34007109OH
2207R00000XInternal Medicine Physician5101028355MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00174556OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000337972OTHEROHBC BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225140007
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SUE UMHOEFER DO
Provider Business Mailing Address
First Line : 601 JOHN STREET
Second Line : BOX 42
City : KALAMAZOO
State : MI
Zip : 49007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2845 CAPITAL AVE SW STE 302
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49015-4187
Country : US
Telephone Number : 269-979-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/02/2025

Similar Medicare Providers

1851227169 — BRONSON BATTLE CREEK HOSPITAL
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
Practice Phone: 269-979-6333
Practice Fax:
1164489316 — MIRANDA RHONDA MAKULSKI DO
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
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Practice Fax: 269-979-6333
1962449793 — MRS. MARTHA J BOYER NP
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
Practice Phone: 269-979-6333
Practice Fax:
1891815411 — NICOLE SUZANNE DEGRAFF PA-C
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
Practice Phone: 269-979-6333
Practice Fax:
1407110257 — DR. WILLIAM BENJAMIN WORKMAN D.O.
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
Practice Phone: 269-979-6333
Practice Fax:
1043732407 — LEAH MARIE MARKLE LMSW
Practice Location Address:
2845 CAPITAL AVE SW STE 302
BATTLE CREEK, MI
49015-4187
Practice Phone: 269-979-6333
Practice Fax: 269-979-6335

Directions to “ KIMBERLY SUE UMHOEFER DO” Practice Location

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