SAMER SAMI KANNAB AIDA (NPI# 1699114926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699114926 |
| Entity Type | Individual |
| Full Name | SAMER SAMI KANNAB AIDA |
| Credential | M.D. |
| Practice Address |
50 N Perry St Pontiac MI 48342-2217 |
| Practice Telephone | 2483385516 |
| Practice Fax Number | 2483385547 |
| Mailing Telephone | 2483385516 |
| Mailing Fax Number | 2483385547 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301108598 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
50 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890856 | Matthew Swayze | Emergency Medicine | 50 N Perry St, Pontiac, MI 48342-2217 | 2005-12-05 |
| 1962000539 | Belinda Becker | Nurse Practitioner | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-10-15 |
| 1336765486 | Mikita Patel | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-24 |
| 1306461264 | Brandon Knight | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1295350122 | Stephanie Schwartz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-16 |
| 1437774833 | Cailyn D'haem | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-11 |
| 1790300358 | Sara F Iqbal | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1053936617 | Bodrie J Jensen | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1033734694 | Neal R Krentz | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| 1154946713 | Gurkirat Jawanda | Student in an Organized Health Care Education/Training Program | 50 N Perry St, Pontiac, MI 48342-2217 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1922449776 | Dr. David Basch & Dr. Alan Widlansky, Pllc Dba Dna Medical Center | General Practice | 486 W Huron St, Pontiac, MI 48341-1602 | 2013-07-09 |
| 1861765695 | Us Healthcare Mi, PC | General Practice | 461 W Huron St Ste 600, Pontiac, MI 48341-1601 | 2012-02-09 |
| 1245546415 | Express Health PC | General Practice | 461 W Huron St Ste 605, Pontiac, MI 48341-1601 | 2010-08-26 |
| 1851619464 | Rtc Enterprise, Inc. | General Practice | 1425 Giddings Rd, Pontiac, MI 48340-2111 | 2010-05-06 |
| 1407942394 | Perry Mlk Medical Center P.C. | General Practice | 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1627 | 2006-10-05 |
| 1861409302 | Bryan K Swilley | General Practice | 673 Mlk Blvd N, Pontiac, MI 48342 | 2006-08-01 |
| 1922265982 | Adnan Matta Md PC | General Practice | 44555 Woodward, #106, Pontiac, MI 48341 | 2008-05-19 |
| 1598951931 | Community Bridges Management, Inc. | General Practice | 31 Oakland Ave, 1st Floor, Suite E, Pontiac, MI 48342-2019 | 2007-09-19 |
| 1255484119 | Pontiac General Hospital and Medical Centers | General Practice | 461 W Huron St, Pontiac, MI 48341-1601 | 2007-01-22 |
| Find all providers in PONTIAC | ||||
Please comment or provide details below to improve the information on SAMER SAMI KANNAB AIDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.