COVENANT PATHOLOGY ASSOCIATES PC (NPI# 1801414941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801414941 |
| Entity Type | Organization |
| Organization Name | COVENANT PATHOLOGY ASSOCIATES PC |
| Practice Address |
4707 Mcleod Dr E Saginaw MI 48604-2853 |
| Mailing Address |
3785 Bay Rd Saginaw MI 48603-2433 |
| Practice Telephone | 9893415078 |
| Practice Fax Number | 9893415073 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | DAVID L. STOCKMAN (PRESIDENT) |
| Authorized Official Telephone | 9893415078 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT PATHOLOGY ASSOCIATES PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MICHIGAN HEALTH CLINICS PC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575556 | Covenant Pathology Associates PC | Internal Medicine | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 1962020008 | Covenant Pathology Associates PC | Family Medicine | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 1467070508 | Covenant Pathology Associates PC | Dermatology | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| Street Address |
4707 MCLEOD DR E |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720617947 | Covenant Pathology Associates, PC | Clinical Medical Laboratory | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-04-08 |
| 1417575556 | Covenant Pathology Associates PC | Internal Medicine | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 1962020008 | Covenant Pathology Associates PC | Family Medicine | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 1467070508 | Covenant Pathology Associates PC | Dermatology | 4707 Mcleod Dr E, Saginaw, MI 48604-2853 | 2020-07-06 |
| 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 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861574204 | Jonathan Rene | Internal Medicine | 2172 Hemmeter Road, Saginaw, MI 48603 | 2006-10-19 |
| 1205805900 | Albert Sm Manlapit | Internal Medicine | 5446 Hampton Pl, Ste A, Saginaw, MI 48604-8213 | 2006-03-15 |
| 1740681790 | Divya Jayakumar | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2014-09-09 |
| 1386924132 | Saginaw Cooperative Hospitals, Inc | Internal Medicine | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2011-08-25 |
| 1417178179 | Valley Rheumatology Associates, Pllc | Internal Medicine | 4701 Towne Centre Rd, Medical Arts #2 Suite 101, Saginaw, MI 48604-2834 | 2007-05-01 |
| 1760515803 | Sanjeev Prakash | Internal Medicine | 4705 Towne Centre Rd, Ste 303, Saginaw, MI 48604-2818 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
| Find all providers with the same taxonomy | ||||
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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.