NPIMap

Organization Active NPI

Phadej Keopunna MD PC

  • Urology Physician
  • Saginaw, MI
National Provider Identifier
1023289659
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0025266 Issued in MI
Legal business name
PHADEJ KEOPUNNA MD PC
Practice address
70 N Frost Dr
Saginaw, MI 48638-5796
Phone
(989) 792-6776
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phadej Keopunna, MDNPI 1699873075
Title
Owner
Phone
(989) 792-6776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0025266 MI Primary

Addresses

Primary practice location

70 N Frost Dr
Saginaw, MI 48638-5796

Mailing address

70 N Frost Dr
Saginaw, MI 48638-5796
Phone (989) 792-6776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1023289659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N FROST DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385796",
            "telephone_number": "989-792-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N FROST DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385796",
            "telephone_number": "989-792-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHADEJ KEOPUNNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "KEOPUNNA",
        "authorized_official_first_name": "PHADEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-792-6776",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "0025266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.