Pinconning Medical Center P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINCONNING MEDICAL CENTER P.C.

Doing business as

Bangor Medical Center

Practice address

4175 N Euclid Ave Ste 3
Bay City, MI 48706-2483

Phone

(899) 684-8183

Fax

(989) 684-8203

NPI assigned

Jun 17, 2006

Organization subpart

Yes

Parent organization

PINCONNING MEDICAL CENTER P.C.As reported in NPPES

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

Authorized official

Name

Mr. William E Berner

Title

Clinic Administrator

Phone

(989) 892-7722

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bangor Medical Center Doing business as

Tax ID family

Pinconning Medical Center2 organizations share this tax ID, including this one

Part of

Pinconning Medical Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinconning Medical Center

  • Urgent Care Clinic/Center
  • Bay City, MI
  • NPI 1699344705
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinconning Medical Center P.C.

  • Family Medicine Physician
  • Pinconning, MI
  • NPI 1639116494
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Knight, PA-C

  • Physician Assistant
  • Bay City, MI
  • NPI 1831129949
  NPD (past)
• Nicholas Orow, M.D.

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1396038972
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1164467916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084211",
            "telephone_number": "899-684-8186",
            "fax_number": "989-684-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N EUCLID AVE STE 3",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062483",
            "telephone_number": "899-684-8183",
            "fax_number": "989-684-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCONNING MEDICAL CENTER P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINCONNING MEDICAL CENTER P.C.",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4190137",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH",
            "identifier": "1015890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080Z910290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bangor Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arynn Kaye Pickvet
• Christy Lynn Pieron
• Nicole Kay Pierson
• Laura Ann Pilarski, RD, CDCES
• Pinconning Medical Center
• Elizabeth Pionk, DO
• Halee Pirie
• Seyedehmaryam Pishva
• Eturnity Pittman
• Jessica Pityer, SLP

• Family Medicine Physician in Bay City, MI
• Providers in Bay City, 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 Jun 29, 2021; 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.