NPI 1780679753 · live from the CMS NPI Registry
Beacon Kalamazoo INC
Orthopaedic Surgery in Kalamazoo, MI. National Provider Identifier 1780679753, active.
NPI record
| NPI | 1780679753 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2490 S 11th St, Suite 201, Kalamazoo, MI 49009 |
| Practice phone | 269-343-1535 |
| Mailing address | 3245 Health Dr, Granger, IN 46530 |
| Enumerated | September 15, 2005 |
| Last updated | September 29, 2026 |
| Authorized official | Irene Maffetone, Manager Contracting |
| Other names | Beacon Kalamazoo Bone & Joint Specialists |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 392110031 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.