Individual provider Active NPI

Emily Ruth McLaren, M.D.

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1063731131
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301096394 Issued in MI
Practice address
4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846
Phone
(989) 793-7220
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301096394 MI Primary

Addresses

Primary practice location

4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846

Mailing address

4677 Towne Centre Rd
Suite 302
Saginaw, MI 48604-2846

Other names 1

  • Emily Ruth Vandahm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001726 MI Practitioner - Emergency Medicine 9739314980 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301096394MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 8, 2018 Accepting new patients
Mymichigan Medical Center Midland Emergency Medicine CurrentSince Jan 8, 2018 Accepting new patients
Mymichigan Medical Center Midland Current Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Apr 8, 2017 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

800 S Washington Ave
Rm Physician
Saginaw, MI 48601
Phone (989) 793-7220

4599 Towne Centre Rd
Rm Phys
Saginaw, MI 48604
Phone (989) 497-3214

800 S Washington Ave
Ph
Saginaw, MI 48601
Phone (989) 793-7220

Interoperability endpoints

  • Direct secure messaging: emclaren67120@mymichiganhealth.midirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1063731131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 302",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 302",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-793-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301096394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "VANDAHM",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.