Samantha L Pace (NPI# 1073845426, PAC ID# 3971746827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1073845426 |
| PAC ID by PECOS | 3971746827 |
| Professional Enrollment ID | I20130826000503 |
| Full Name | Samantha L Pace |
| Organization Legal Name | HENNEPIN HEALTHCARE SYSTEM INC |
| Address |
800 Washington Ave N Suite 190 Minneapolis MN 55401-1330 |
| Phone Number | 6123525700 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4789684861 |
| Number of Group Practice Members | 769 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 701 Park Ave, Minneapolis, MN 55415-1623 | 6128733000 | HENNEPIN HEALTHCARE SYSTEM INC |
| 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 | 6123525700 | HENNEPIN HEALTHCARE SYSTEM INC |
| Organization Legal Name | HENNEPIN HEALTHCARE SYSTEM INC |
| Physicians | 791 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Drawz | Pathology | Hennepin Healthcare System Inc | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 |
| Carla M Schultz | Internal Medicine | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Louis P Kohl | Interventional Cardiology | Hennepin Healthcare System Inc | 1425 10th Ave S, Minneapolis, MN 55404-1309 |
| Valerie R Post | Nurse Practitioner | Hennepin Healthcare System Inc | 2700 E Lake St, Suite 1100, Minneapolis, MN 55406-1963 |
| Kimberly M Petersen | Family Medicine | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Margaret A Rudolph | Nurse Practitioner | Hennepin Healthcare System Inc | 5653 Duluth St, Golden Valley, MN 55422-4054 |
| Krisiti E White | Psychologist, Clinical | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Kathleen S Holets | Nurse Practitioner | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Barbara A Johnson | Psychiatry | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Jeffrey H Wang | Nephrology | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Street Address |
800 WASHINGTON AVE N SUITE 190 |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55401-1330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine A Kelley | Physician Assistant | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| Mariam Anwar | Geriatric Medicine | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| John B Sweet | Allergy/immunology | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| Kelly E Pezzella | Nurse Practitioner | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| Adam J Loavenbruck | Neurology | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| Peter J Polski | Chiropractic | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| City | MINNEAPOLIS |
| Zip Code | 55401 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MINNEAPOLIS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Samantha L Pace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.