St Marys of Michigan Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ST MARYS OF MICHIGAN SPECIALISTS

Practice address

4690 McLeod Dr E
Saginaw, MI 48604-2836

Phone

(989) 249-5454

Fax

(989) 249-5468

NPI assigned

Jan 23, 2007

Last updated

Dec 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael L Long, VP

Title

Vice President

Phone

(989) 907-3095

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1801940093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MCLEOD DR E",
            "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",
            "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": "2007-01-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-907-3095",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301073051",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301087160",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301072478",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balasubramaniam Srinivasan, M.D.
• Ravali Sripathi
• Shravani Sripathi, MD
• St Marys of Michigan Specialists
• St Marys of Michigan Specialists
• James St Onge III
• Charles Lloyd St-Germain, MD
• St. Francis Home of Saginaw
• St. Marys of Michigan Specialists
• Elizabeth J Stacer, BHS, SST, DP-C

• Specialist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.