Individual provider Active NPI

Stephanie Lagrow, PA

  • Medical Physician Assistant
  • Saginaw, MI
National Provider Identifier
1851522361
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
700 Cooper Ave Ste 1100
Saginaw, MI 48602-5383
Phone
(989) 583-2720
Fax
(989) 583-1888
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

700 Cooper Ave Ste 1100
Saginaw, MI 48602-5383

Mailing address

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000

Other practice location 1

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

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL stephanielagrow@smomsjhs.allscriptsdirect.net
Direct Messaging Address slagrow6961@direct.covenanthealthcare.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000566 MI Practitioner - Physician Assistant 2365598687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 242-0422

235 Wealthy St SE FL
5 Mary Free Bed Skilled Nursing
Grand Rapids, MI 49503-5247
Phone (616) 840-8162

700 Cooper Ave
Suite 1100
Saginaw, MI 48602-5383
Phone (989) 583-6386

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince May 26, 2013 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince May 26, 2013 Accepting new patients
Mary Free Bed Rehabilitation Hospital Past Accepting new patients

Locations

9900 Birch Run Rd
Ste D
Birch Run, MI 48415
Phone (989) 624-1575

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4677 Towne Centre Rd
Ste 301
Saginaw, MI 48604
Phone (517) 799-8712

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4677 Towne Centre Rd
Ste 3
Saginaw, MI 48604

700 Cooper Ave
Ste 1100
Saginaw, MI 48602
Phone (989) 583-2720

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1851522361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "616-840-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COOPER AVE STE 1100",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025383",
            "telephone_number": "989-583-2720",
            "fax_number": "989-583-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4677 Towne Ctr",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042846",
            "country_code": "US",
            "telephone_number": "989-799-8712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGROW",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stephanielagrow@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4677 Towne Ctr",
            "address_2": "Suite 301",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slagrow6961@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "700 Cooper Ave Ste 1100",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.