Teresa Pietrus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TP065998 Issued in MI

Practice address

8680 Gratiot Rd
Suite B
Saginaw, MI 48609-4885

Phone

(989) 781-3089

Fax

(989) 781-3209

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134148679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 WINDEMERE DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031270",
            "telephone_number": "989-249-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 GRATIOT RD",
            "address_2": "SUITE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486094885",
            "telephone_number": "989-781-3089",
            "fax_number": "989-781-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUS",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TP065998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301147 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Margaret Pickelmann, ATC
• Jennifer Pierce, RD
• Julie Ann Pierce II
• Leanne Pierson
• Zachary Pierson, DPM
• Jacquelynn Pike
• Kathryn Prabhudas Pillai
• Lindsey Pilling, PA-C
• Kenneth D Pilon, O.D.
• Sundarachalam Pindicura

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.