SAGE MEDICAL GROUP PLLC (NPI# 1336414101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336414101 |
| Entity Type | Organization |
| Organization Name | SAGE MEDICAL GROUP PLLC |
| Practice Address |
6201 Fox Glen Dr Apt 292 Saginaw MI 48638-7352 |
| Mailing Address |
3061 Christy Way Saginaw MI 48603-2224 |
| Practice Telephone | 5869804391 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897912455 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | CHARLIE ROHR (HUSBAND) |
| Authorized Official Telephone | 5869804391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101012605 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679836134 | Sage Medical Group Pllc | Non-Pharmacy Dispensing Site | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2012-06-20 |
| Street Address |
6201 FOX GLEN DR APT 292 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-7352 |
| 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 |
| 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 |
| 1215249743 | Dr Samuel H Shaheen PC | Family Medicine | 1100 S Washington Ave, Suite 1, Saginaw, MI 48601-2557 | 2010-07-13 |
| 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.