NPIMap

Individual provider Active NPI

Aaron Jacob Goldfarb, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Grand Blanc, MI
National Provider Identifier
1417100306
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
5101018038 Issued in MI
Practice address
9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207
Phone
(810) 733-7741
Fax
(810) 733-8898
NPI assigned
Oct 23, 2008
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 5101018038 MI Primary

Addresses

Primary practice location

9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207

Mailing address

9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207
Phone (810) 733-7741

Other identifiers 1

IdentifierTypeStateIssuer
1417100306MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090122000351 MI Practitioner - Pathology 5193889970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Health Management GroupGroup PAC ID 8628985215, 18 clinicians

Practice addresses (Care Compare)

4000 S Saginaw St
Flint, MI 48507-2604
Phone (810) 396-5747

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
McLaren Health Management Group CurrentSince Oct 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
McKenzie Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients
McLaren Health Management Group Current Accepting new patients
McKenzie Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients
McLaren Health Management Group Current Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

1515 Cal Dr
Davison, MI 48423
Phone (810) 496-8640

3270 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7765

4000 S Saginaw St
Flint, MI 48507
Phone (810) 396-5700

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1417100306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 S SAGINAW RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398207",
            "telephone_number": "810-733-7741",
            "fax_number": "810-733-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 S SAGINAW RD STE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398207",
            "telephone_number": "810-733-7741",
            "fax_number": "810-733-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "AARON",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "5101018038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417100306",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.