# PARAGON HEALTH, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARAGON HEALTH PC
- **Other names:** Advanced Vascular Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487619136
- **Legal business name:** PARAGON HEALTH PC
- **Authorized official:** DR. MARK C. RUMMEL MD (PRESIDENT)
- **Authorized official phone:** (269) 492-6500

## Contact information

- **Practice address:** 1815 HENSON AVE, KALAMAZOO, MI 49048-1510
- **Practice address phone:** (269) 492-6507
- **Practice address fax:** (269) 492-6461
- **Mailing address:** 1815 HENSON AVE, KALAMAZOO, MI 49048-1510
- **Mailing address phone:** (269) 492-6507
- **Mailing address fax:** (269) 492-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 01/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 020C910340 | BLUE CROSS BLUE SHIELD | MI |
| 05 | — | 1013972769 | — | MI |
| 01 | — | 1417961137 | BCBSM - BMH | MI |
| 01 | — | G00142 | BLUE CARE NETWORK | MI |