Mymichigan Medical Center Sault
Organization Active NPI Family Medicine Physician · Sault Sainte Marie, MI
NPI 1699832279 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1699832279
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- RW076972 (MI)
- Legal business name
- MYMICHIGAN MEDICAL CENTER SAULT
- Practice address
- 500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822 - Phone
- (906) 635-4460
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Sarah James
- Title
- Manager, Provider Enrollment
- Phone
- (989) 701-4734
Other NPIs on the same Medicare enrollment 6
Practitioners 126
-
Muhammad Abdullah, M.D.
-
Jamie Devin Adair, M.D
-
Fawaz Alsmaan, MD
-
Mohamed Ayman, MD
-
Hussein Ayoub, MD
-
Dania Baraka, DO
-
Paul D Berg, MD
-
Jaimee Suzanne Brow, FNP-C
-
Thilak Chander, M.D
-
Thomas Cook, M.D.
-
Jeffrey Grant Costain, M.D.
-
Andrea Donmyer, CNM
-
Megan Sue Eby, MD
-
Jonathan Erius, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040512000662 | MI | Part B Supplier - Clinic/Group Practice | 7315936481 |
Receives reassigned benefits from 191 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sault Sainte Marie, MI; Sault S Marie, MI; Cedarville, MI; Saint Ignace, MI; Newberry, MI; Mackinaw City, MI; Kincheloe, MI; Drummond Island, MI… |
National Provider Directory
Locations
550 Osborn Blvd
Ste 201
Sault Sainte Marie, MI 49783
Phone (906) 253-2788
509 Osborn Blvd
Ste 106
Sault Sainte Marie, MI 49783
Phone (906) 635-4401
509 Osborn Blvd
Ste 120
Sault Sainte Marie, MI 49783
Phone (906) 635-3002
509 Osborn Blvd
Ste 400
Sault Sainte Marie, MI 49783
Phone (906) 632-4740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician |
204D00000X | CS081266 | MI | |
| Family Medicine Physician |
207Q00000X | RW076972 | MI | Yes |
| Family Medicine Physician |
207Q00000X | DW057132 | MI | |
| Obstetrics & Gynecology Physician |
207V00000X | 4301037635 | MI | |
| Surgery Physician |
208600000X | AD082728 | MI | |
| Urology Physician |
208800000X | 4301088941 | MI |
Addresses
Primary practice location
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956
Other names
- Chippewa County War Memorial Hospital, Inc.
Other providers in Sault Sainte Marie, MI
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault
All providers in Sault Sainte Marie, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.