Organization · Type 2 NPI

Beacon Kalamazoo Inc

Orthopaedic Surgery Physician · Kalamazoo, MI

NPI number 1780679753 Active

Practice location

2490 S 11th St, Suite 201
Kalamazoo, MI 49009-2175

Call (269) 343-1535 Map

Fax (269) 343-0418

Mailing address

3245 Health Dr
Granger, IN 46530-1380

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	392110031 (MI)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

17 other providers at this address

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NPI record

NPI: 1780679753
Entity type: Organization (Type 2)
Issued: Sep 15, 2005
Last updated: Sep 29, 2026
Status: Active

Other names

<unavail>
Beacon Kalamazoo Bone & Joint Specialists · doing business as
Kalamazoo Orthopaedic Clinic · doing business as

Authorized official

Ms. Irene Maffetone
Manager Contracting
(574) 647-1040

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780679753

Beacon Kalamazoo Inc's National Provider Identifier is 1780679753, issued on Sep 15, 2005. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Kalamazoo, MI. The record was last updated on Sep 29, 2026.