ASCENSION ST. MARY'S HOSPITAL (NPI# 1104436179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104436179 |
| Entity Type | Organization |
| Organization Name | ASCENSION ST. MARY'S HOSPITAL |
| Other Organization Name | ASCENSION MEDICAL GROUP FAMILY PHYSICIANS |
| Practice Address |
5810 Gratiot Rd Ste B Saginaw MI 48638-6063 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9897903650 |
| Practice Fax Number | 9897908630 |
| Mailing Telephone | 9897903650 |
| Mailing Fax Number | 9893629925 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | LAURILEE MCCORD (ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 9893629411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ascension Medical Group Family Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144886896 | Ascension St. Mary's Hospital | Surgery | 1015 S Washington Ave Fl 3, Saginaw, MI 48601-2556 | 2019-05-17 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1720448095 | Ascension St. Mary's Hospital | Nurse Practitioner | 5810 Gratiot Rd, Suite B, Saginaw, MI 48638-6063 | 2016-03-01 |
| 1730388380 | Ascension St. Mary's Hospital | Family Medicine | 4040b N . Euclid Ave, Bay City, MI 48706 | 2007-07-13 |
| 1538266978 | Ascension St. Mary's Hospital | Family Medicine | 9900 East Birch Run Road, Birch Run, MI 48415 | 2006-09-20 |
| 1326658154 | Ascension St. Mary's Hospital | Family Medicine | 4705 Towne Centre Rd Ste 204, Saginaw, MI 48604-2819 | 2020-08-06 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1609412527 | Ascension St. Mary's Hospital | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-26 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1073084141 | Ascension St. Mary's Hospital | Internal Medicine | 4680 Mcleod Dr E, Saginaw, MI 48604-2852 | 2018-12-16 |
| Street Address |
5810 GRATIOT RD STE B |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-6063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376939793 | Quintisha Marie Walker | Family Medicine | 5810 Gratiot Rd Ste B, Saginaw, MI 48638-6063 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1265099113 | Aubrey Lynn Vrable | Family Medicine | 4386 State St Ste 3, Saginaw, MI 48603-4067 | 2019-05-28 |
| 1598211823 | Triptpal Singh Sanghera | Family Medicine | 1000 Houghton Avenue, Saginaw, MI 48602-5303 | 2016-08-28 |
| 1376939793 | Quintisha Marie Walker | Family Medicine | 5810 Gratiot Rd Ste B, Saginaw, MI 48638-6063 | 2015-04-13 |
| 1194076422 | Covenant Medical Group | Family Medicine | 600 Irving Ave, Saginaw, MI 48602-5375 | 2012-09-26 |
| 1700147519 | Lawrence Chester Whiting | Family Medicine | 2233 N. Center Road, Saginaw, MI 48603-3730 | 2012-06-07 |
| 1336414101 | Sage Medical Group Pllc | Family Medicine | 6201 Fox Glen Dr, Apt 292, Saginaw, MI 48638-7352 | 2012-03-13 |
| 1811288400 | Dafina Wise Allen | Family Medicine | 3875 Bay Rd Ste 2n, Saginaw, MI 48603-2423 | 2011-04-29 |
| 1649573361 | Ronald L Jenson Md PC | Family Medicine | 2233 N Center Rd, Saginaw, MI 48603-3730 | 2010-12-20 |
| 1437463239 | Michael A Ledtke Md PC | Family Medicine | 150 Plymouth Rd, Saginaw, MI 48638-7135 | 2010-08-04 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.