Saginaw Valley Family Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAGINAW VALLEY FAMILY CARE, PLLC

Practice address

5200 State St
Saginaw, MI 48603-3713

Phone

(989) 793-4250

Fax

(989) 793-6880

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Bethany E Malott, PA-CNPI 1215128962

Title

Physician Assistant

Phone

(989) 793-4250

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Saginaw Valley Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany E Malott, PA

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1215128962
  Medicare reassignment Care Compare group Authorized official
• Krista Marie Heckert, FNP

  • Nurse Practitioner
  • Saginaw, MI
  • NPI 1306333927
  Medicare reassignment Care Compare group NPD
• James V Bodrie, M.D

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1629011507
  Medicare reassignment Care Compare group
• Dalton Reimus, PA

  • Medical Physician Assistant
  • Saginaw, MI
  • NPI 1700594843
  Medicare reassignment Care Compare group
• Jennifer Lynn Azelton, N.P.

  • Family Nurse Practitioner
  • Saginaw, MI
  • NPI 1124583158
  Medicare reassignment NPD
• Molly Marie Bailey, NP-C

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1972172054
  Medicare reassignment NPD
• Louis F Byrne, MD

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1740200658
  Medicare reassignment NPD
• Heather Lynn Duby, N.P.-C

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1477835684
  Medicare reassignment
• Melanie E Odeleye, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Foster City, CA
  • NPI 1184988255
  NPD
• Robert Louis Borenitsch, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Saginaw, MI
  • NPI 1336191139
  NPD (past)
• Jack R Brown, D.O.

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1649249186
  NPD (past)
• Annmarie Lemke Buchner

  • Audiologist
  • Saginaw, MI
  • NPI 1922134303
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1992270870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034067",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033713",
            "telephone_number": "989-793-4250",
            "fax_number": "989-793-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VALLEY FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MALOTT",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "989-793-4250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "17402000658",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215128962",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1366926842",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saginaw Valley Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Saginaw Valley Dermatology PC
• Saginaw Valley Endoscopy Center
• Saginaw Valley Family Medicine, PC
• Saginaw Valley Foot & Ankle Center
• Saginaw Valley Geriatrics PLLC
• Saginaw Valley Hearing Clinic
• Saginaw Valley Medical Care PLC

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.