GREAT LAKES BAY HEALTH CENTERS (NPI# 1649373713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649373713 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BAY HEALTH CENTERS |
| Practice Address |
1522 Janes St Saginaw MI 48601-1819 |
| Mailing Address |
501 Lapeer Saginaw MI 48607-1208 |
| Practice Telephone | 9897550316 |
| Practice Fax Number | 9897550956 |
| Mailing Telephone | 9897596464 |
| Mailing Fax Number | 9893998233 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | LISA GALONSKA (VICE PRESIDENT) |
| Authorized Official Telephone | 9897596464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 300G311360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1386290153 | Great Lakes Bay Health Centers | Clinic/Center | 3021 Court St, Saginaw, MI 48602-3620 | 2019-08-16 |
| 1073169835 | Great Lakes Bay Health Centers | Clinic/Center | 4691 Bearcat Blvd, Bridgeport, MI 48722-9581 | 2019-08-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1275922411 | Great Lakes Bay Health Centers | Clinic/Center | 2110 S M 76 Ste 9, West Branch, MI 48661-8737 | 2015-01-12 |
| 1134491202 | Great Lakes Bay Health Centers | Clinic/Center | 1555 Industrial Drive, Owosso, MI 48867 | 2012-02-03 |
| 1902136385 | Great Lakes Bay Health Centers | Clinic/Center | 1015 Commerce Dr, Vassar, MI 48768-9589 | 2010-01-06 |
| 1023348406 | Great Lakes Bay Health Centers | Clinic/Center | 2424 N. Outer Drive, Saginaw, MI 48601-1208 | 2010-01-06 |
| 1649400284 | Great Lakes Bay Health Centers | Clinic/Center | 955 Commerce, Vassar, MI 48768-1208 | 2009-07-16 |
| 1548407992 | Great Lakes Bay Health Centers | Clinic/Center | 239 State Road, Suite A, Owosso, MI 48867-9075 | 2009-01-07 |
| Street Address |
1522 JANES ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288693 | Gregory Arthur Pinnell | Family Medicine | 1522 Janes St, Saginaw, MI 48601-1819 | 2005-10-06 |
| 1750649737 | Kristina Linn Jordan | Nurse Practitioner | 1522 Janes St, Saginaw, MI 48601-1819 | 2012-04-27 |
| 1578799318 | Karin Michelle Jaros | Nurse Practitioner | 1522 Janes St, Saginaw, MI 48601-1819 | 2009-06-08 |
| 1053562157 | Sharawn R Erwin | Social Worker | 1522 Janes St, Janes St. Community Health Center, Saginaw, MI 48601-1819 | 2008-10-07 |
| 1215059530 | Charles O Smallman | Physician Assistant | 1522 Janes St, Saginaw, MI 48601-1819 | 2007-04-06 |
| 1780702571 | Great Lakes Bay Health Centers | Clinic/Center | 1522 Janes St, Saginaw, MI 48601-1819 | 2007-03-27 |
| 1053470963 | Shauna Lee Barbeau | Nurse Practitioner | 1522 Janes St, Saginaw, MI 48601-1819 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740459767 | William Ka-lok Wong | Radiology | 3400 North Center, Suite 400, Saginaw, MI 48603-7920 | 2008-02-23 |
| 1770695983 | Randall William Holden | Radiology | 3793 Sundridge Pl, Saginaw, MI 48603-1264 | 2006-09-01 |
| 1568490050 | Cynthia Blount | Radiology | 3400 N Center Rd Ste 400, Saginaw, MI 48603-7920 | 2006-06-30 |
| 1588624183 | Peter J Tomko | Radiology | 3400 N. Center Rd, Suite 400, Saginaw, MI 48603-7920 | 2006-03-27 |
| 1528038197 | Tai Kang Sr. | Radiology | 3037 Silverwood Dr, Saginaw, MI 48603-2171 | 2006-01-25 |
| 1255324968 | Ross Thomas Waterfield | Radiology | 3400 N Center Rd, Suite 400, Saginaw, MI 48603-7920 | 2005-08-27 |
| 1588908222 | Mid Michigan Advanced Imaging LLC | Radiology | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2012-11-19 |
| 1700140068 | Michael William Warren | Radiology | 3400 N Center Rd, Saginaw, MI 48603 | 2012-07-01 |
| 1851688733 | Kristi Marie Murphy | Radiology | 3400 N Center Rd Ste 400, Saginaw, MI 48603-7920 | 2011-06-29 |
| 1356675094 | Covenant Services Corporation | Radiology | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2009-09-29 |
| 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.