Organization Active NPI

St. Marys of Michigan Specialists

  • Surgical Critical Care Physician
  • Saginaw, MI
National Provider Identifier
1699870865
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
ST. MARYS OF MICHIGAN SPECIALISTS
Practice address
4690 McLeod Dr E
Ste B
Saginaw, MI 48604-2836
Phone
(989) 249-5454
Fax
(989) 249-5468
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Authorized official

Name
Dr. Mark C Lester, MD
Title
Chief Medical Officer
Phone
(989) 907-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0102X Primary

Addresses

Primary practice location

4690 McLeod Dr E
Ste B
Saginaw, MI 48604-2836

Mailing address

4690 McLeod Dr E
Ste B
Saginaw, MI 48604-2836
Phone (989) 249-5454

National Provider Directory

National Provider Directory
Tax ID family
St Marys of Michigan Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4690 McLeod Dr E
Ste B
Saginaw, MI 48604
Phone (989) 249-5454

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1699870865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MCLEOD DR E",
            "address_2": "STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042836",
            "telephone_number": "989-249-5454",
            "fax_number": "989-249-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MCLEOD DR E",
            "address_2": "STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042836",
            "telephone_number": "989-249-5454",
            "fax_number": "989-249-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS OF MICHIGAN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF  MEDICAL OFFICER",
        "authorized_official_telephone_number": "989-907-8345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "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 Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.