MR. MARK WALTER PANKONIN MD NPI 1477645539

NPI Information

NPI: 1477645539
Provider Name: MR. MARK WALTER PANKONIN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1600 MIDLAND RD
SAGINAW, MI
ZIP 48638
Phone: (989) 793-0510
Get Directions

MR. Mark Walter Pankonin, MD is a family medicine in Saginaw, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Mark Walter Pankonin, MD NPI is 1477645539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1600 MIDLAND RD
SAGINAW, MI
ZIP 48638
Phone: (989) 793-0510
Fax: (989) 793-9491

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/18/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MP035123	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A77866	MEDICARE UPIN
2	0732272	OTHER	MICHIGAN	BLUE CROSS BLUE SHEILD OF
3	0722726	OTHER	MICHIGAN	HEALTHPLUS
4	080181742	OTHER	MICHIGAN	RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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