NPIMap

Organization Active NPI

Childrens Medical Group of Saginaw Bay PLLC

  • Pediatrics Physician
  • Bay City, MI
National Provider Identifier
1902972748
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS MEDICAL GROUP OF SAGINAW BAY PLLC
Practice address
248 Washington Ave
Suite a
Bay City, MI 48708-5848
Phone
(989) 892-5664
Fax
(989) 892-0662
NPI assigned
Nov 24, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Dr. Jeffrey T Vangelderen, MDNPI 1043217979
Title
Owner
Phone
(989) 892-5664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

248 Washington Ave
Suite a
Bay City, MI 48708-5848

Mailing address

248 Washington Ave
Suite a
Bay City, MI 48708-5848
Phone (989) 892-5664

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0374918Children's Medical Group of Saginaw Bay PLLC248 Washington Avenue Ste a, Bay City, MI 48708Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory

Locations

248 Washington Ave
#A
Bay City, MI 48708
Phone (989) 249-8940

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7895/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1902972748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085848",
            "telephone_number": "989-892-5664",
            "fax_number": "989-892-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085848",
            "telephone_number": "989-892-5664",
            "fax_number": "989-892-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL GROUP OF SAGINAW BAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "VANGELDEREN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-892-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.