SAGINAW RADIOTHERAPY PC (NPI# 1578515573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578515573 |
| Entity Type | Organization |
| Organization Name | SAGINAW RADIOTHERAPY PC |
| Practice Address |
800 S Washington Ave Saginaw MI 48601-2551 |
| Mailing Address |
4449 Fashion Square Blvd Saginaw MI 48603-5217 |
| Practice Telephone | 9897900007 |
| Practice Fax Number | 9897907547 |
| Mailing Telephone | 9897900007 |
| Mailing Fax Number | 9897907547 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | YOUNG H KIM (PRESIDENT) |
| Authorized Official Telephone | 9897900007 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RR MEDICARE | CC9580 | 01 |
| Street Address |
800 S WASHINGTON AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530202 | Young H Kim | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
| 1053938969 | Jeffry Lin | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-26 |
| 1942826482 | Olivia Samoray | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-21 |
| 1376169896 | Aarthi Arab | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-20 |
| 1598388613 | Jacqueline White-neslund | Pharmacist | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-05-22 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1205455300 | Matthew B Cabeliza | Nurse Practitioner | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-09 |
| 1558998989 | Precision Radiotherapy Pllc | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-03-25 |
| 1609412527 | Ascension St. Mary's Hospital | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-26 |
| 1225673940 | Hospitalist Medicine Physicians of Michigan - Grand Blanc, Pllc | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-18 |
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| 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 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530202 | Young H Kim | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
| 1558998989 | Precision Radiotherapy Pllc | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-03-25 |
| 1194089441 | Mark Anthony Zaki | Radiology | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2012-07-02 |
| 1952569824 | Ascension St. Mary's Hospital | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2008-05-28 |
| 1780841262 | Ascension St. Mary's Hospital | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2008-05-21 |
| 1669697629 | Salam Yanek | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2007-04-16 |
| 1336165794 | Vivian Elayne Arterbery | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2006-07-15 |
| 1487631222 | Khurshid Ahmad | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
| 1003809005 | James A Fugazzi | Radiology | 5400 Mackinaw Rd, Saginaw, MI 48604-9515 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
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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.