McLaren Bay Region

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MCLAREN BAY REGION

Practice address

690 S Trumbull St
Bay City, MI 48708

Phone

(989) 922-4900

NPI assigned

May 21, 2012

Last updated

Aug 8, 2018By 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

Danielle C Jacks Porter

Title

Cfo

Phone

(989) 894-3838

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• McLaren Bay Region

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1508131087

  5597659011

  Same PAC ID
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226

  5597659011

  Same PAC ID
• McLaren Bay Region

  • Rehabilitation Hospital Unit
  • Bay City, MI
  • NPI 1801860218

  5597659011

  Same PAC ID
• McLaren Bay Region

  • Psychiatric Hospital Unit
  • Bay City, MI
  • NPI 1831163070

  5597659011

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• McLaren Bay Region

  • Psychologist
  • Essexville, MI
  • NPI 1013056233

  O20040416000730

  Same enrollment

Locations

Practitioners 241

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.

• Ryan Cox, M.D.

  • Psychiatry Physician
  • Saginaw, MI
  • NPI 1275983298
  Medicare reassignment NPD
• Molly Gabriel-Champine, PHD

  • Clinical Psychologist
  • Flint, MI
  • NPI 1235507914
  Medicare reassignment NPD
• Adam David Nicholas, MD

  • Psychiatry Physician
  • Auburn, MI
  • NPI 1033309950
  Medicare reassignment NPD
• Anne Mangalindan Tadeo, M.D.

  • Psychiatry Physician
  • Bay City, MI
  • NPI 1083773717
  Medicare reassignment NPD
• Mukesh Lathia, MD

  • Psychiatry Physician
  • Bay City, MI
  • NPI 1700820693
  Medicare reassignment
• Nazem Abdelfattah, MD

  • Family Medicine Physician
  • Flint, MI
  • NPI 1255374757
  NPD
• Michael Abdul-Malek, D.O.

  • Cardiovascular Disease Physician
  • Dearborn Heights, MI
  • NPI 1396935946
  NPD
• Jonathan D Abramson, M. D.

  • Hematology & Oncology Physician
  • Bay City, MI
  • NPI 1194715276
  NPD
• Macksood Ahmad Aftab, D.O.

  • Neuroradiology Physician
  • Saginaw, MI
  • NPI 1124243282
  NPD
• Iftiker Ahmad, MD

  • Gastroenterology Physician
  • East Lansing, MI
  • NPI 1184673402
  NPD
• Saad Ahmad, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Bay City, MI
  • NPI 1750562153
  NPD
• Hafeez Yusuf Ahmed, MD

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1871758326
  NPD

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1942560339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087692",
            "telephone_number": "989-922-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-922-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN BAY REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "JACKS PORTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-894-3838"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Region
• McLaren Bay Special Care
• McLaren Health Management Group (McLaren Home Health)
• McLaren Medical Group
• McLaren Medical Group
• Dakota McLean

• Psychiatry Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.