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SAGINAW VALLEY STATE UNIVERSITY SPORTS MEDICINE
NPI 1548933740
Orthopaedic Surgery in University Center, MI

Active since July 26, 2021CLIA 23D2065443 · Waiver
7400 BAY RD, UNIVERSITY CENTER, MI 48710(972) 367-4845 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Saginaw Valley State University Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGINAW VALLEY STATE UNIVERSITY SPORTS MEDICINE (NPI 1548933740) is a healthcare organization registered as an orthopaedic surgery in University Center, Michigan and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Mouzon Bass, Administrator By Agent, as its authorized official.

NPPES Registry Identity

NPI1548933740
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSAGINAW VALLEY STATE UNIVERSITY
Location Address7400 BAY RDUniversity Center, MI 48710-0001
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995 · (972) 367-4845
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator By Agent · (972) 367-4845
Enumeration DateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1548933740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
7400 BAY RD, University Center, MI 48710
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Other Names 1

Doing Business AsSaginaw Valley State University Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2065443

Saginaw Valley State University Human Performance Lab · University Center, MI
Active · expires Sep 8, 2027
CLIA Number23D2065443
Laboratory TypeTeaching Lab
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKisha Osterhoff
Laboratory Phone(989) 964-4509
Laboratory LocationSaginaw Valley State University Human Performance Lab7400 Bay Road Health & Human Services-H109, University Center, MI 48710
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE ANN CAMERON
Student in an Organized Health Care Education/Training Program
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 964-4000
ALYSSA POLLARD-MCGRANDY
Specialist/Technologist (Athletic Trainer)
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 964-2546
GENEVIEVE KUCHARSKI
Behavior Technician
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (815) 450-3181
ANDREA DELL MSOTRL
Occupational Therapist
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (810) 705-0912
JESSICA PAVWOSKI FNP-C
Nurse Practitioner (Family)
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 964-4000
DR. PAUL A BALLARD ED.D.
Specialist/Technologist (Athletic Trainer)
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 964-7269
MADELINE MORIAH DAVID MSN, APRN, FNP-BC
Nurse Practitioner (Family)
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 964-4000
MEGAN FRIZZELL
Registered Nurse
7400 BAY RD
UNIVERSITY CENTER, MI 48710
Bay County (989) 415-6843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saginaw Valley State University's NPI number?

The NPI number for Saginaw Valley State University is 1548933740. It was assigned to this organization in the NPPES registry on July 26, 2021. The provider is doing business as Saginaw Valley State University Sports Medicine.

Where is Saginaw Valley State University located?

Saginaw Valley State University is located at 7400 Bay Rd, University Center, MI 48710. The listed phone number is (972) 367-4845.

What is Saginaw Valley State University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Saginaw Valley State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2065443) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Saginaw Valley State University accept?

Health plans from Blue Care Network of Michigan list Saginaw Valley State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Saginaw Valley State University was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.