Active NPI
Pauline DO
- Student in an Organized Health Care Education/Training Program
- Saginaw, MI
National Provider Identifier
1033967211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 700 Cooper Ave
Saginaw, MI 48602-5383 - Phone
- (989) 583-0000
- NPI assigned
- May 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 Cooper Ave
Saginaw, MI 48602-5383
Mailing address
1632 Stone St
Saginaw, MI 48602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2024.
{
"created_epoch": "1715385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1033967211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 STONE ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COOPER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025383",
"telephone_number": "989-583-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-11",
"last_updated": "2024-05-11",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.