ST MARY'S OF MICHIGAN (NPI# 1699831842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699831842 |
| Entity Type | Organization |
| Organization Name | ST MARY'S OF MICHIGAN |
| Other Organization Name | ST MARY'S OF MICHIGAN PATHOLOGY |
| Practice Address |
800 S Washington Ave Saginaw MI 48601-2551 |
| Practice Telephone | 9899078230 |
| Mailing Telephone | 9899078230 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | STEVE WALTERS (DIRECTOR) |
| Authorized Official Telephone | 9899078230 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | M-CARE | NC021586 | 01 |
| MI | HEALTHPLUS OF MI | 01002513 | 01 |
| MI | BLUE CROSS BLUE SHIELD MI | 0G31213 | 01 |
| MI | BLUE CARE NETWORK | 0G31213 | 01 |
| MI | RAILROAD MEDICARE | DE5705 | 01 |
| Other Name | Type Code |
|---|---|
| St Mary's of Michigan Pathology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487050415 | St Mary's of Michigan | Family Medicine | 204 W 3rd St, Pinconning, MI 48650-9622 | 2014-11-19 |
| 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 |
| Find all providers in zip 48601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1750648069 | Xin Li | Pathology | 800 S Washington Ave, Saginaw, MI 48601 | 2012-04-12 |
| 1902123250 | Ascension St. Mary's Hospital | Pathology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2010-04-27 |
| 1225242449 | Mohamed Moustafa El-fakharany | Pathology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2007-05-09 |
| 1023185162 | Covenant Pathology Associates, PC | Pathology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2006-11-30 |
| 1407943871 | Eugene Stanley Olsowka | Pathology | 1000 Houghton Ave, Laboratory Services, Saginaw, MI 48602-5303 | 2006-10-06 |
| 1265526313 | Nicholas John Hruby | Pathology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2006-10-03 |
| 1932201548 | Weichen Wang | Pathology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2006-09-03 |
| 1982674115 | Ibrahim Malak | Pathology | 800 S Washington Ave, Pathology, Saginaw, MI 48601-2551 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
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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.