Provider Demographics
NPI:1366472169
Name:ONCOLOGY HEMATOLOGY ASSOCIATES OF SAGINAW VALLEY PC
Entity Type:Organization
Organization Name:ONCOLOGY HEMATOLOGY ASSOCIATES OF SAGINAW VALLEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARTNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-791-2330
Mailing Address - Street 1:5400 MACKINAW RD.
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9533
Mailing Address - Country:US
Mailing Address - Phone:989-791-2330
Mailing Address - Fax:989-791-2329
Practice Address - Street 1:5400 MACKINAW RD.
Practice Address - Street 2:SUITE 4200
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9533
Practice Address - Country:US
Practice Address - Phone:989-791-2330
Practice Address - Fax:989-791-2329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G31085OtherBLUE CROSS/BLUE SHIELD
MIDE9161OtherRAILROAD MEDICARE
MIDE9161Medicare PIN
MI0G31085OtherBLUE CROSS/BLUE SHIELD
MI0N31240Medicare ID - Type Unspecified