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1841288693

NPI Code Detail

MEDICARE: GREGORY ARTHUR PINNELL MD

MEDICARE: GREGORY ARTHUR PINNELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301075483	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	160050643	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0090252	OTHER	MI	BCBS PIN
2	116165	OTHER		GREAT LAKES HEALTH PLAN
3	264	OTHER	MI	COMMUNITY CHOICE
4	381908328	OTHER		TRICARE
6	381908328	OTHER		FIRST HEALTH
7	0800902521	OTHER	MI	BCBS PIN
8	080G310660	OTHER	MI	BCBS
9	1010673	OTHER		HEALTH ADVANTAGE PPO
10	381908328	OTHER		PPOM
11	4686730	OTHER	MI	MOLINA HEALTH CARE
12	1010673	OTHER		MCLAREN HEALTH PLAN
13	0988680	OTHER	MI	HEALTHPLUS
14	7323200	OTHER		AETNA
15	381908328	OTHER		HCAP
16	P109042	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1841288693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY ARTHUR PINNELL MD

Provider Business Mailing Address
First Line	:	501 LAPEER AVE
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48607-1208
Country	:	US
Telephone Number	:	989-759-6464
Fax Number	:	989-399-8233

Provider Business Practice Location Address
First Line	:	1522 JANES ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48601-1819
Country	:	US
Telephone Number	:	989-755-0316
Fax Number	:	989-755-0956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/09/2021

Similar Medicare Providers

1033113444 — MS. SARA REID HINDERER DNP
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-0316
Practice Fax: 989-755-0956

1831187673 — ROCHELLE H MARSHALL FNP
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-0316
Practice Fax: 989-755-0956

1902894769 — BARBARA ANN KISH CFNP
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-0316
Practice Fax: 989-755-0956

1023006806 — ENAM BEHNAM HANNA MD
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-0316
Practice Fax: 989-755-0956

1609864495 — BRENDA MARIE COUGHLIN MD
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-1316
Practice Fax: 989-755-0956

1033107867 — DONALD B PASSAL MD
Practice Location Address:

1522 JANES AVE
SAGINAW, MI
48601-1819

Practice Phone: 989-755-0316
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Directions to “ GREGORY ARTHUR PINNELL MD” Practice Location

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