Active NPI
Andrew Michael Namespetra, MB BCH BAO
- Emergency Medicine Physician
- Saginaw, MI
National Provider Identifier
1629641550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4351048105
- Practice address
- 1000 Houghton Ave
Saginaw, MI 48602-5303 - Phone
- (989) 746-7518
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4351048105 | MI | Primary |
Addresses
Primary practice location
1000 Houghton Ave
Saginaw, MI 48602-5303
Mailing address
305 Woodview Drive
Essex, ONTARIO N8M3E8
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210721002362 | MI | Order and Referring Only - Emergency Medicine | 9931502432 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1629641550",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "305 WOODVIEW DRIVE",
"city": "ESSEX",
"state": "ONTARIO",
"postal_code": "N8M3E8"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOUGHTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025303",
"telephone_number": "989-746-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMESPETRA",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"credential": "MB BCH BAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4351048105",
"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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.