Frankenmuth Medical Associates PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRANKENMUTH MEDICAL ASSOCIATES PLLC

Doing business as

Saginaw Medical Associates

Practice address

154 S Main St Ste 6
Frankenmuth, MI 48734-1692

Phone

(989) 502-1122

Fax

(989) 502-1212

NPI assigned

Sep 21, 2017

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Surrock, PA-CNPI 1033493309

Title

Ceo

Phone

(989) 502-1122

Specialties & licenses 3

Addresses

Other names 1

• Saginaw Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10871/brand/1/csg/1/fhir/r4

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Surrock, PA

  • Physician Assistant
  • Frankenmuth, MI
  • NPI 1033493309
  Medicare reassignment Care Compare group Authorized official
• Kaitlyn Elizabeth McIntosh, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Caro, MI
  • NPI 1427642875
  Medicare reassignment Care Compare group NPD
• Robert L. Chadwick, D.O.

  • Family Medicine Physician
  • Frankenmuth, MI
  • NPI 1740220870
  Medicare reassignment Care Compare group
• Jennifer Lynn Azelton, N.P.

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1124583158
  Medicare reassignment NPD
• Molly Marie Bailey, NP-C

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1972172054
  Medicare reassignment NPD
• Heather Lynn Duby, N.P.-C

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1477835684
  Medicare reassignment NPD
• Kenneth Jostock Jr., M.D.

  • Internal Medicine Physician
  • Metamora, MI
  • NPI 1861655847

  Family Medicine

  Medicare reassignment NPD
• Abigail Weirauch, FNP-BC

  • Family Nurse Practitioner
  • Frankenmuth, MI
  • NPI 1508465543
  Medicare reassignment NPD
• Melanie E Odeleye, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Foster City, CA
  • NPI 1184988255
  NPD

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1225547383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22559",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154474",
            "telephone_number": "989-502-1122",
            "fax_number": "844-674-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S MAIN ST STE 6",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341692",
            "telephone_number": "989-502-1122",
            "fax_number": "989-502-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486387135",
            "country_code": "US",
            "telephone_number": "989-363-3863",
            "fax_number": "989-502-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRANKENMUTH MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "SURROCK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-502-1122",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006225",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saginaw Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Frankenmuth, MI
• Providers in Frankenmuth, 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 Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.