Active NPI
Faith Abbott, DO
- Neurology Physician
- Saginaw, MI
National Provider Identifier
1326035650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 5101011271
- Practice address
- 4677 Towne Centre Rd Ste 301
Saginaw, MI 48604-2848 - Phone
- (855) 298-9888
- Fax
- (989) 497-3128
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5101011271 | MI | Primary |
Addresses
Primary practice location
4677 Towne Centre Rd Ste 301
Saginaw, MI 48604-2848
Mailing address
PO Box 779
Tawas City, MI 48764-0779
Phone (989) 362-9411
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4475683 | Medicaid | MI | |
| 0980954 | Other | MI | HEALTHPLUS |
| 1357300535 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Saginaw Valley Neurosurgery, P.L.L.C. | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Frankenmuth, MI
- NPI 1912995465
-
- Neurological Surgery Physician
- Saginaw, MI
- NPI 1710086160
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1326035650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487640779",
"telephone_number": "989-362-9411",
"fax_number": "989-362-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4677 TOWNE CENTRE RD STE 301",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042848",
"telephone_number": "855-298-9888",
"fax_number": "989-497-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "FAITH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "5101011271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4475683",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "0980954",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1357300535",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.