Provider Demographics
NPI:1427848845
Name:PARAGON HEALTH, PC DBA KALAMAZOO PEDIATRICS
Entity type:Organization
Organization Name:PARAGON HEALTH, PC DBA KALAMAZOO PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-491-3263
Mailing Address - Street 1:670 MALL DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-2878
Mailing Address - Country:US
Mailing Address - Phone:269-491-3263
Mailing Address - Fax:269-327-1560
Practice Address - Street 1:670 MALL DR
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-2878
Practice Address - Country:US
Practice Address - Phone:269-491-3263
Practice Address - Fax:269-327-1560
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARAGON HEALTH, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty