MEDICARE: HEALTHCARE MIDWEST PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	207Y00000X	Otolaryngology Physician
3	207T00000X	Neurological Surgery Physician
4	207W00000X	Ophthalmology Physician
5	208000000X	Pediatrics Physician
6	208600000X	Surgery Physician
7	2086S0129X	Vascular Surgery Physician
8	208800000X	Urology Physician
9	363A00000X	Physician Assistant
10	363LA2200X	Adult Health Nurse Practitioner
11	207XS0106X	Orthopaedic Hand Surgery Physician
12	208100000X	Physical Medicine & Rehabilitation Physician
13	207XX0801X	Orthopaedic Trauma Physician
14	207XS0117X	Orthopaedic Surgery of the Spine Physician
15	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1841238854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE MIDWEST PC

Provider Business Mailing Address
First Line	:	4341 S WESTNEDGE AVE
Second Line	:	SUITE 2205
City	:	KALAMAZOO
State	:	MI
Zip	:	49008-3289
Country	:	US
Telephone Number	:	269-373-4646
Fax Number	:	269-373-7655

Provider Business Practice Location Address
First Line	:	4341 S WESTNEDGE AVE
Second Line	:	SUITE 2205
City	:	KALAMAZOO
State	:	MI
Zip	:	49008-3289
Country	:	US
Telephone Number	:	269-373-4646
Fax Number	:	269-373-7655

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JAMES E MCKERNAN
Credential	:
Telephone Number	:	269-343-7676

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	06/05/2009

Similar Medicare Providers

1326928821 — MCKENZIE WILSON
Practice Location Address:

4341 S WESTNEDGE AVE STE AND1203
KALAMAZOO, MI
49008-3289

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Practice Fax:

1760650972 — GARY N. KREBILL,DDS,PC
Practice Location Address:

4341 S WESTNEDGE AVE , SUITE 2112
KALAMAZOO, MI
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1487808226 — EDUCATIONAL & DEVELOPMENTAL CONSULTING
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1356676324 — MR. HECTOR RODRIGUEZ M.A., LLPC
Practice Location Address:

4341 S WESTNEDGE AVE , SUITE 2109
KALAMAZOO, MI
49008-3289

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Practice Fax: 269-384-8448

1346565892 — MS. DARLINE HALEY
Practice Location Address:

4341 S WESTNEDGE AVE , #20101
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1265738504 — MAXIM HEALTHCARE SERVICES, INC.
Practice Location Address:

4341 S WESTNEDGE AVE , SUITE 1201
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Practice Phone: 410-910-1500
Practice Fax:

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