Organization Active NPI

Oncology Hematology Associates of Saginaw Valley PC

  • Hematology & Oncology Physician
  • Saginaw, MI
National Provider Identifier
1366472169
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ONCOLOGY HEMATOLOGY ASSOCIATES OF SAGINAW VALLEY PC
Practice address
5400 Mackinaw Rd.
Suite 4200
Saginaw, MI 48604-9533
Phone
(989) 791-2330
Fax
(989) 791-2329
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
John K Bartnik, M.D.NPI 1740211275
Title
Owner/President
Phone
(989) 791-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

5400 Mackinaw Rd.
Suite 4200
Saginaw, MI 48604-9533

Mailing address

5400 Mackinaw Rd.
Suite 4200
Saginaw, MI 48604-9533
Phone (989) 791-2330

Other practice location 1

2050 E Caro Rd
Caro, MI 48723-9320
Phone (989) 672-5001

Other practice location 2

2431 S M 30
West Branch, MI 48661-9351
Phone (989) 343-2487

Other identifiers 2

IdentifierTypeStateIssuer
0G31085OtherMIBLUE CROSS/BLUE SHIELD
DE9161OtherMIRAILROAD MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address admin@ohasv.OncoEMRdirect.com
Direct Messaging Address admin@ohasv.OncoEMRdirect.com
Direct Messaging Address admin@ohasv.OncoEMRdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706001033 MI Part B Supplier - Clinic/Group Practice 1355328550 Receives reassigned benefits from 7 practitioners
Practice locations: Caro, MI; West Branch, MI; Saginaw, MI; Marlette, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0976207Oncology Hematology Associates of5400 Mackinaw Road Suite 4200, Saginaw, MI 48604AccreditationSep 18, 2027
23D1063986Oncology Hematology Associates2050 E Caro Road, Caro, MI 48723AccreditationJun 23, 2028

National Provider Directory

National Provider Directory

Locations

5400 Mackinaw Rd
Ste 3101
Saginaw, MI 48604
Phone (517) 791-2330

5400 Mackinaw Rd
Ste 4200
Saginaw, MI 48604
Phone (989) 791-2330

4489 M 61
Ste 3
Standish, MI 48658
Phone 4489613486 ext. 1639

Interoperability endpoints

  • Direct secure messaging: admin@ohasv.oncoemrdirect.com

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1366472169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD.",
            "address_2": "SUITE 4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049533",
            "telephone_number": "989-791-2330",
            "fax_number": "989-791-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD.",
            "address_2": "SUITE 4200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049533",
            "telephone_number": "989-791-2330",
            "fax_number": "989-791-2329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239320",
            "country_code": "US",
            "telephone_number": "989-672-5001",
            "fax_number": "989-672-5003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 S M 30",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486619351",
            "country_code": "US",
            "telephone_number": "989-343-2487",
            "fax_number": "989-343-2489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONCOLOGY HEMATOLOGY ASSOCIATES OF SAGINAW VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "BARTNIK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "989-791-2330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0G31085",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9161",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "5400 Mackinaw Rd.",
            "address_2": "Suite 4200",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486049533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2050 E Caro Rd",
            "city": "Caro",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487239320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@ohasv.OncoEMRdirect.com",
            "affiliation": "N",
            "address_1": "2431 S M 30",
            "city": "West Branch",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486619351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 26, 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.