NPIMap

Organization Active NPI

Saginaw Valley Sport and Spine

  • Public Health or Welfare Agency
  • Saginaw, MI
National Provider Identifier
1417089996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SAGINAW VALLEY SPORT AND SPINE
Practice address
130 Camelot Dr
Apt. A10
Saginaw, MI 48638-6457
Phone
(989) 245-6056
NPI assigned
Mar 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Louise Delossantos, ATCMSNPI 1790998839
Title
Athletic Trainer
Phone
(989) 245-6056

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
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

130 Camelot Dr
Apt. A10
Saginaw, MI 48638-6457

Mailing address

130 Camelot Dr
Apt. A10
Saginaw, MI 48638-6457
Phone (989) 245-6056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417089996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CAMELOT DR",
            "address_2": "APT. A10",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386457",
            "telephone_number": "989-245-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CAMELOT DR",
            "address_2": "APT. A10",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386457",
            "telephone_number": "989-245-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VALLEY SPORT AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELOSSANTOS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "989-245-6056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATCMS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.