PHADEJ KEOPUNNA (NPI# 1699873075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699873075 |
| Entity Type | Individual |
| Full Name | PHADEJ KEOPUNNA |
| Credential | MD |
| Practice Address |
70 North Frost Dr Saginaw MI 48638 |
| Mailing Address |
70 North Frost Drive Saginaw MI 48638 |
| Practice Telephone | 9897926776 |
| Practice Fax Number | 9897926792 |
| Mailing Telephone | 9897926776 |
| Mailing Fax Number | 9897926792 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | PK035585 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2105487 | 05 |
| Street Address |
70 NORTH FROST DR |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638 |
| 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 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447469242 | Sanjeev A Kaul | Urology | 3875 Bay Rd Ste 2s, Saginaw, MI 48603-2423 | 2007-05-21 |
| 1013900190 | Glenn Evan Kershen | Urology | 1117 S Washington Ave, Saginaw, MI 48601-2558 | 2005-08-24 |
| 1306302823 | Jessica Robin Thomas | Urology | 1117 S Washington Ave, Saginaw, MI 48601-2574 | 2019-02-20 |
| 1487183828 | Michigan Prostate and Urological Institute, P.C. | Urology | 1740 Midland Rd, Saginaw, MI 48638 | 2017-06-08 |
| 1023289659 | Phadej Keopunna Md PC | Urology | 70 N Frost Dr, Saginaw, MI 48638-5796 | 2008-03-24 |
| 1497951289 | Atul Dattatraya Rajpurkar | Urology | 3875 Bay Rd, Saginaw, MI 48603-2417 | 2007-06-27 |
| 1366463101 | Tri City Urology Associates PC | Urology | 1117 S Washington Ave, Saginaw, MI 48601 | 2006-07-21 |
| 1952329070 | Abbas A Bekhrad | Urology | 1117 S Washington Ave, Saginaw, MI 48601 | 2006-07-17 |
| 1790713949 | Richard A Mills | Urology | 3875 Bay Rd, Saginaw, MI 48603-2417 | 2006-06-28 |
| 1508834755 | Midwest Prostate & Urological Institute | Urology | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-14 |
| 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.