NPIMap

Organization Active NPI

Saginaw Valley Neurosurgery, P.L.L.C.

  • Neurological Surgery Physician
  • Saginaw, MI
National Provider Identifier
1710086160
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301045222 Issued in MI
Legal business name
SAGINAW VALLEY NEUROSURGERY, P.L.L.C.
Practice address
4677 Towne Centre Rd
Suite 301
Saginaw, MI 48604-2846
Phone
(989) 799-8712
Fax
(989) 791-1152
NPI assigned
Sep 22, 2006
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Shari Kosciuszko
Title
Practice Manager
Phone
(989) 799-8712

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601001993 MI
Neurological Surgery Physician 207T00000X 4301022285 MI
Neurological Surgery Physician 207T00000X 4301045222 MI Primary
Neurology Physician 2084N0400X 4301072871 MI

Addresses

Primary practice location

4677 Towne Centre Rd
Suite 301
Saginaw, MI 48604-2846

Mailing address

4677 Towne Centre Rd
Suite 301
Saginaw, MI 48604-2846
Phone (989) 799-8712

National Provider Directory

National Provider Directory

Locations

308 E Michigan Ave
Grayling, MI 49738
Phone (517) 348-6611

555 W Wackerly St
Ste 3725
Midland, MI 48640
Phone (989) 633-3380

1201 South Dr
Ste 371
Mt Pleasant, MI 48858
Phone (989) 953-4169

4273 Corporate Way
Mt Pleasant, MI 48858
Phone (989) 953-4357

4677 Towne Centre Rd
Ste 3
Saginaw, MI 48604

200 Hemlock St
#M55
Tawas City, MI 48763
Phone (517) 362-9410

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1710086160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 301",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-799-8712",
            "fax_number": "989-791-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 TOWNE CENTRE RD",
            "address_2": "SUITE 301",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042846",
            "telephone_number": "989-799-8712",
            "fax_number": "989-791-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VALLEY NEUROSURGERY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "KOSCIUSZKO",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "989-799-8712"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601001993",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301022285",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301045222",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301072871",
            "primary": false
        }
    ],
    "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 Aug 2, 2010; 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.