Mark Walter Pankonin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MP035123 Issued in MI

Practice address

1600 Midland Rd
Saginaw, MI 48638

Phone

(989) 793-0510

Fax

(989) 793-9491

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mark W Pankonin MD PC

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1720259005
  NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1477645539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MIDLAND RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-793-0510",
            "fax_number": "989-793-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MIDLAND RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48638",
            "telephone_number": "989-793-0510",
            "fax_number": "989-793-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKONIN",
        "first_name": "MARK",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MP035123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0722726",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF",
            "identifier": "0732272",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080181742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arshid Pandit, M.D
• Sunil P Pandit, MD
• Dhwani N Pandya, MD
• Shailja Piyush Pandya, MD
• Mark Steven Pankonin, M.D./PH.D.
• Smriti Pant, FNP
• Michael Duane Papenfuse, D.O.
• Thomas William Papperman, MD
• Amie Paradine, PSY.D.
• Paramount Rehabilitation Services, PC

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, 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 Dec 18, 2009; 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.