Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ascension Medical Group Promed

Organization Family Medicine Physician · NPI 1497709869

Ascension Medical Group Promed is a Family Medicine Physician in Portage, Michigan. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
11
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Practice location Address checks out

7901 Angling Rd
Portage, MI 49024-0714
Phone: (269) 552-2912
Fax: (269) 552-2835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1555 E Chicago Rd, Sturgis, MI 49091-1993 — (269) 651-3218
  • 633 S Erie St, Three Rivers, MI 49093-2073 — (269) 273-9539

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Interventional Cardiology Physician Taxonomy 207RI0011X
Gynecology Physician Taxonomy 207VG0400X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X
Nursing Care Agency Taxonomy 251J00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1497709869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3460
NPI enumeratedMay 20, 2006
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address3245 Health Dr Ste 100, Ste 100, Granger, IN 46530-1380

Other providers in Portage