Toby C Long (NPI# 1952558272, PAC ID# 0446421473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1952558272 |
PAC ID by PECOS | 0446421473 |
Professional Enrollment ID | I20110922000223 |
Full Name | Toby C Long |
Organization Legal Name | GREAT LAKES BAY HEALTH CENTERS |
Address |
229 Gallagher St Saginaw MI 48601-3252 |
Phone Number | 9897553619 |
Gender | M |
Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
Graduation Year | 2008 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 2466369046 |
Number of Group Practice Members | 93 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230070 | COVENANT MEDICAL CENTER |
230077 | ST MARY'S OF MICHIGAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
229 Gallagher St, Saginaw, MI 48601-3252 | 9897553619 | GREAT LAKES BAY HEALTH CENTERS |
Organization Legal Name | GREAT LAKES BAY HEALTH CENTERS |
Physicians | 99 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jana M Orr | Nurse Practitioner | Great Lakes Bay Health Centers | 3023 Davenport Ave, Saginaw, MI 48602-3652 |
Bradley Todd | Physician Assistant | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Tiffany K Kim | Obstetrics/gynecology | Great Lakes Bay Health Centers | 804 S Hamilton St, Great Lakes Bay Health Centers Old, Saginaw, MI 48602-1516 |
Rose Marie Fife | Certified Nurse Midwife (cnm) | Great Lakes Bay Health Centers | 3175 Professional Ct, Bay City, MI 48706-2823 |
Vickie B Mello | Obstetrics/gynecology | Great Lakes Bay Health Centers | 501 Lapeer Ave, Saginaw, MI 48607-1203 |
Nancy C O'hare | Certified Nurse Midwife (cnm) | Great Lakes Bay Health Centers | 3884 Monitor Rd, Bay City, MI 48706-9298 |
Ramakrishnayya Gadam | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Christine A Elsholz | Family Medicine | Great Lakes Bay Health Centers | 6297 Dixie Hwy, Bridgeport, MI 48722-9635 |
Anne Tadeo | Psychiatry | Great Lakes Bay Health Centers | 3023 Davenport Ave, Saginaw, MI 48602-3652 |
Katelyn Barton | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Street Address |
229 GALLAGHER ST |
City | SAGINAW |
State | MI |
Zip | 48601-3252 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bradley Todd | Physician Assistant | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Diana Hickey | Nurse Practitioner | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Michael Np Busch | Nurse Practitioner | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Carolyn S Epplett | Nurse Practitioner | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Dakima L Bridges | Nurse Practitioner | Great Lakes Bay Health Centers | 229 Gallagher St, Saginaw, MI 48601-3252 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ramakrishnayya Gadam | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Katelyn Barton | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Victoria S Ball | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Teri L Harrison | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Blair Nicole Pancheck | Nurse Practitioner | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Anandita Arora | Internal Medicine | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Rita S Ratani | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Arvind R Patel | Diagnostic Radiology | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Shirley Raveendran | Family Medicine | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Peter G Gulick | Infectious Disease | Great Lakes Bay Health Centers | 1522 Janes Ave, Saginaw, MI 48601-1819 |
Find all physicians in zip 48601 |
City | SAGINAW |
Zip Code | 48601 |
Specialty | FAMILY MEDICINE |
City + Specialty | SAGINAW + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.