SAGINAW VALLEY NEUROLOGY PLLC (NPI# 1225278740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225278740 |
| Entity Type | Organization |
| Organization Name | SAGINAW VALLEY NEUROLOGY PLLC |
| Practice Address |
4677 Towne Centre Rd Suite 303 Saginaw MI 48604-2846 |
| Mailing Address |
2561 Reliable Pkwy Chicago IL 60686-0001 |
| Practice Telephone | 9897998712 |
| Practice Fax Number | 9897911152 |
| Mailing Telephone | 9897998712 |
| Mailing Fax Number | 9897911152 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | IFTIKHAR A KHAN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9897998712 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301072871 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4677 TOWNE CENTRE RD SUITE 303 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968856 | E Malcolm Field | Neurological Surgery | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2005-11-04 |
| 1699179689 | Angelina Oggema | Nurse Practitioner | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2014-10-20 |
| 1407285257 | Richard Herm | Nurse Practitioner | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2013-11-02 |
| 1427394766 | Teresa A Villano | Nurse Practitioner | 4677 Towne Centre Rd, Suite 102, Saginaw, MI 48604-2846 | 2012-12-13 |
| 1093070591 | St. Mary's of Michigan | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2012-07-10 |
| 1164793683 | Comprehensive Pain Management Center, Inc. | Pain Medicine | 4677 Towne Centre Rd, Suite 102, Saginaw, MI 48604-2846 | 2012-01-13 |
| 1063731131 | Emily Ruth Mclaren | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2010-05-27 |
| 1689830192 | Joseph Ghassan Adel | Specialist | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2008-08-04 |
| 1831350776 | Danielle Luea Graham | Emergency Medicine | 4677 Towne Centre Rd, Suite 302, Saginaw, MI 48604-2846 | 2008-06-23 |
| 1457412959 | Ascension St. Mary's Hospital | Clinic/Center | 4677 Towne Centre Rd, Suite 201, Saginaw, MI 48604-2846 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1144590290 | Hospital Psychiarty Pllc | Psychiatry & Neurology | 3353 Silverwood Dr, Saginaw, MI 48603-2180 | 2012-01-06 |
| 1447234075 | Joel Beltran | Psychiatry & Neurology | 800 Cooper, Suite 11, Saginaw, MI 48602 | 2005-12-06 |
| 1326035650 | Faith Abbott | Psychiatry & Neurology | 4677 Towne Centre Rd Ste 301, Saginaw, MI 48604-2848 | 2005-10-03 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1063955136 | Covenant Medical Center, Inc | Psychiatry & Neurology | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2016-11-22 |
| 1447562236 | David Donald Gill Jr. | Psychiatry & Neurology | 800 Cooper Ave, Suite 11, Saginaw, MI 48602-5394 | 2010-07-08 |
| 1568630952 | Jeffrey R Levin Md PC | Psychiatry & Neurology | 4705 Towne Ctr, Ste 302, Saginaw, MI 48604-2818 | 2008-02-19 |
| 1003004086 | Michigan Advanced Neurology Center, Pllc | Psychiatry & Neurology | 4705 Towne Ctr, Ste. 201, Saginaw, MI 48604-2818 | 2007-10-04 |
| 1851327159 | Debasish Mridha | Psychiatry & Neurology | 4705 Towne Ctr, Suite 201, Saginaw, MI 48604-2818 | 2006-06-25 |
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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.