St Marys of Michigan Specialists

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

Legal business name

ST MARYS OF MICHIGAN SPECIALISTS

Practice address

4677 Towne Ctr
Medical Arts 3 Suite 201
Saginaw, MI 48604-2846

Phone

(989) 497-3123

Fax

(989) 497-3116

NPI assigned

Nov 19, 2008

Organization subpart

Yes

Parent organization

ST MARYSOF MICHIGAN SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Michael L Long, MBA

Title

VP of Ambulatory Services

Phone

(989) 497-3095

Specialties & licenses 1

Addresses

Part of

St Marys of Michigan Specialists

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1205081114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CTR",
            "address_2": "MEDICAL ARTS 3 SUITE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-497-3123",
            "fax_number": "989-497-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CTR",
            "address_2": "MEDICAL ARTS 3 SUITE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-497-3123",
            "fax_number": "989-497-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS OF MICHIGAN SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARYSOF MICHIGAN SPECIALISTS",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF AMBULATORY SERVICES",
        "authorized_official_telephone_number": "989-497-3095",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Martha Sramkoski, APRN-BC
• Rebecca Srebinski, RD
• Balasubramaniam Srinivasan, M.D.
• Ravali Sripathi
• Shravani Sripathi, MD
• St Marys of Michigan Specialists
• St Marys of Michigan Specialists
• James St Onge III
• Charles Lloyd St-Germain, MD
• St. Francis Home of Saginaw

• Surgery of the Hand (Plastic Surgery) Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.