Individual provider Active NPI

Marilyn Staines, DO

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1649320433
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012803 Issued in MI
Practice address
5570 State St
Saginaw, MI 48603-3583
Phone
(989) 583-0100
Fax
(989) 583-0108
NPI assigned
Jan 12, 2007
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012803 MI Primary

Addresses

Primary practice location

5570 State St
Saginaw, MI 48603-3583

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstaines1277@direct.covenanthealthcare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000760 MI Practitioner - Family Practice 0244287324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

Practice addresses (Care Compare)

1458 W Ctr Rd
Suite 1
Essexville, MI 48732-2151
Phone (989) 895-4625

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region Family Medicine CurrentSince Feb 2, 2006 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Jun 1, 2003 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Apr 18, 2022 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jun 1, 2003 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Apr 18, 2022 Accepting new patients
McLaren Bay Region CurrentSince Feb 2, 2006 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

2919 Wilder Rd
Ste 110
Bay City, MI 48706
Phone (989) 671-5700

2919 Wilder Rd
Ste 210
Bay City, MI 48706
Phone (989) 607-0590

1458 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4625

600 N Main St
Ste 110
Frankenmuth, MI 48734
Phone (989) 652-1320

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

2970 Pierce Rd
Ste 1
Saginaw, MI 48604
Phone (989) 583-0285

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

Interoperability endpoints

  • Direct secure messaging: marilyn.staines.1@27771.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1649320433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-0100",
            "fax_number": "989-583-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033583",
            "telephone_number": "989-583-0100",
            "fax_number": "989-583-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINES",
        "first_name": "MARILYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstaines1277@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "5570 State St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486033583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.