Active NPI
Saginaw Valley Medical Imaging
- Diagnostic Radiology Physician
- Saginaw, MI
National Provider Identifier
1588923148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301407494
- Legal business name
- SAGINAW VALLEY MEDICAL IMAGING
- Practice address
- 4200 Fashion Square Blvd
Suite 1
Saginaw, MI 48603-1375 - Phone
- (989) 797-3000
- Fax
- (989) 799-6459
- NPI assigned
- May 16, 2012
- Organization subpart
- Yes
- Parent organization
- SAGINAW VALLEY NEUROSURGERY PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald R Schell, MD
- Title
- President
- Phone
- (989) 799-8712
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 4301407494 | MI | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 4301407494 | MI | |
| Neuroradiology Physician | 2085N0700X | 4301407494 | MI | |
| Nuclear Radiology Physician | 2085N0904X | 4301407494 | MI | |
| Pediatric Radiology Physician | 2085P0229X | 4301407494 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 4301407494 | MI | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 4301407494 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301407494 | MI | |
| Diagnostic Ultrasound Physician | 2085U0001X | 4301407494 | MI |
Addresses
Primary practice location
4200 Fashion Square Blvd
Suite 1
Saginaw, MI 48603-1375
Mailing address
4677 Towne Centre Rd
Suite 301
Saginaw, MI 48604-2846
Phone (989) 799-8712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086160 | Medicaid | MI |
National Provider Directory
National Provider Directory- Part of
- Saginaw Valley Neuro PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337126400000",
"number": "1588923148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4677 TOWNE CENTRE RD",
"address_2": "SUITE 301",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042846",
"telephone_number": "989-799-8712",
"fax_number": "989-791-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 FASHION SQUARE BLVD",
"address_2": "SUITE 1",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486031375",
"telephone_number": "989-797-3000",
"fax_number": "989-799-6459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGINAW VALLEY MEDICAL IMAGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGINAW VALLEY NEUROSURGERY PLLC",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A",
"authorized_official_last_name": "SCHELL",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-799-8712",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301407494",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Therapeutic Radiology",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301407494",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "MI",
"license": "4301407494",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710086160",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
- Saginaw Valley Foot & Ankle Center
- Saginaw Valley Geriatrics PLLC
- Saginaw Valley Hearing Clinic
- Saginaw Valley Medical Care PLC
- Saginaw Valley Medical Center PLLC
- Saginaw Valley Neurology PLLC
- Saginaw Valley Neurosurgery, P.L.L.C.
- Saginaw Valley Orthodontic Specialists, P.C. (Michigan Orthodontic Specialists)
- Saginaw Valley Pediatrics PLLC
- Saginaw Valley Pharmacy LLC (Saginaw Valley Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.