Provider Demographics
NPI:1437147287
Name:SAYLOR, DOUGLAS JAY (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:JAY
Last Name:SAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 LAPEER AVE
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1208
Mailing Address - Country:US
Mailing Address - Phone:989-759-6400
Mailing Address - Fax:989-759-6423
Practice Address - Street 1:3175 PROFESSIONAL DRIVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2823
Practice Address - Country:US
Practice Address - Phone:989-667-3377
Practice Address - Fax:989-667-9991
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301046517207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
190OtherCOMMUNITY CHOICE OF MICHI
381908328OtherFIRST HEALTH
MI4529588Medicaid
0998824OtherHEALTHPLUS OF MICHIGAN
381908328OtherTRICARE
193892OtherCIGNA
700G361110OtherBCBS OF MI
P71799OtherBLUE CARE NETWORK OF MICH
P00086038OtherRAILROAD MEDICARE
112057OtherGREAT LAKES HEALTH PLAN
0G36111033Medicare ID - Type Unspecified
P00086038OtherRAILROAD MEDICARE