MR. MARK WALTER PANKONIN (NPI# 1477645539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477645539 |
| Entity Type | Individual |
| Full Name | MR. MARK WALTER PANKONIN |
| Credential | MD |
| Practice Address |
1600 Midland Rd Saginaw MI 48638 |
| Practice Telephone | 9897930510 |
| Practice Fax Number | 9897939491 |
| Mailing Telephone | 9897930510 |
| Mailing Fax Number | 9897939491 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MP035123 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 080181742 | 01 |
| MI | BLUE CROSS BLUE SHEILD OF | 0732272 | 01 |
| MI | HEALTHPLUS | 0722726 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356509947 | Mark Steven Pankonin | Internal Medicine | 900 Cooper Ave, Suite 4300, Saginaw, MI 48602-5182 | 2008-05-30 |
| Street Address |
1600 MIDLAND RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720259005 | Mark W Pankonin Md PC | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638-4338 | 2008-03-14 |
| 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 |
| 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 |
| 1316508930 | Amanda Ellis | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-06-25 |
| 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.