Individual provider Active NPI

Audrey Ellen Stryker, MD

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1689652380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301049019 Issued in MI
Practice address
5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604-9515
Phone
(989) 792-3100
Fax
(989) 792-9860
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301049019 MI Primary

Addresses

Primary practice location

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604-9515

Mailing address

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604-9515
Phone (989) 792-3100

Other identifiers 2

IdentifierTypeStateIssuer
P64434OtherBLUE CARE NETWORK ID#
102865741MedicaidMI

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
I20040225000051 MI Practitioner - Obstetrics/Gynecology 3971499492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

3175 Professional CT
Bay City, MI 48706-2823
Phone (989) 667-3377

Hospital & facility affiliations

  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049019MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint CurrentSince Jul 1, 2024 Accepting new patients
Great Lakes Bay Health Centers Obstetrics & Gynecology CurrentSince Apr 28, 2014 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Great Lakes Bay Health Centers CurrentSince Apr 28, 2014 Accepting new patients
Saginaw Cooperative Hospitals, Inc CurrentSince Dec 21, 2012 Accepting new patients
McLaren Flint Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Dec 21, 2012 Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Guy M Boike, MD PC PastSince Apr 1, 2003 Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

3175 Professional Ct
Bay City, MI 48706
Phone (989) 667-3377

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

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

5400 Mackinaw Rd
Fl 5
Saginaw, MI 48604
Phone (989) 583-5060

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

5400 Mackinaw Rd
Saginaw, MI 48604
Phone (989) 583-5200

2110 S M 76
Ste 9
West Branch, MI 48661
Phone (989) 316-4150

Interoperability endpoints

  • Direct secure messaging: audrey.stryker.1@27771.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689652380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "STE 6100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-792-3100",
            "fax_number": "989-792-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "STE 6100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-792-3100",
            "fax_number": "989-792-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYKER",
        "first_name": "AUDREY",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301049019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK ID#",
            "identifier": "P64434",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102865741",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.