Individual provider Active NPI

Steven Greg Fettinger, MD

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1225016850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301035350 Issued in MI
Practice address
5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone
(989) 792-3100
Fax
(989) 792-9860
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301035350 MI Primary

Addresses

Primary practice location

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604

Mailing address

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604-9515
Phone (989) 792-3100

Other identifiers 2

IdentifierTypeStateIssuer
P67636OtherBLUE CARE NETWORK ID #
101258650MedicaidMI

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
I20040225000034 MI Practitioner - Obstetrics/Gynecology 5991691412 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Obstetrics & Gynecology CurrentSince Sep 4, 2009 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Sep 4, 2009 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Guy M Boike, MD PC PastSince Apr 1, 2003 Accepting new patients

Locations

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Fl 5
Saginaw, MI 48604
Phone (989) 583-5060

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225016850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "STE 6100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-792-3100",
            "fax_number": "989-792-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "STE 6100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48604",
            "telephone_number": "989-792-3100",
            "fax_number": "989-792-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTINGER",
        "first_name": "STEVEN",
        "middle_name": "GREG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301035350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK ID #",
            "identifier": "P67636",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101258650",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.