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SAGINAW VALLEY FOOT & ANKLE CENTER NPI 1871778647


NPI Information

NPI: 1871778647
Provider Name: SAGINAW VALLEY FOOT & ANKLE CENTER
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5400 MACKINAW
SUITE 2100
SAGINAW, MI
ZIP 48604
Phone: (989) 790-4662
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SAGINAW VALLEY FOOT & ANKLE CENTER is a podiatrist in Saginaw, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SAGINAW VALLEY FOOT & ANKLE CENTER NPI is 1871778647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5400 MACKINAW
SUITE 2100
SAGINAW, MI
ZIP 48604-549
Phone: (989) 790-4662
Fax: (989) 790-7680

The provider's authorized official is Derek Robert Tesoro .
The authorized official title is Owner Physician and has the following contact phone number (989) 790-4662.

The enumeration date for this NPI number is 12/29/2007 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDT001450MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480019411OTHERMICHIGANMEDICARE RAILROAD
211290415OTHERMICHIGANCAQH
31198630001OTHERMICHIGANMEDICARE SUPPLIER ID
43173006MEDICAIDMICHIGAN
54857311150OTHERMICHIGANBLUE CROSS
6T93373MEDICARE UPINMICHIGAN
7OM12060MEDICARE OSCAR/CERTIFICATIONMICHIGAN
81198630001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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