Samantha M Mucha (NPI# 1326056003, PAC ID# 6709882103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1326056003 |
| PAC ID by PECOS | 6709882103 |
| Professional Enrollment ID | I20061006000528 |
| Full Name | Samantha M Mucha |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Address |
777 Kimole Ln Suite 220 Adrian MI 49221-1400 |
| Phone Number | 5172636464 |
| Gender | F |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 7012902265 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 | 5172636464 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| 818 Riverside Ave 5th Floor Cardiology, Adrian, MI 49221-1446 | 5172650214 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 | 5174243883 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| 500 E Pottawatamie, Tecumseh, MI 49286-2018 | 5174243000 | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Organization Legal Name | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maura Ann Crescenzo | Nurse Practitioner | Promedica Central Corporation of Michigan | 500 E Pottawatamie, Tecumseh, MI 49286-2018 |
| Jennifer Lewis | Nurse Practitioner | Promedica Central Corporation of Michigan | 781 Lakeshire Trail, Adrian, MI 49221-1561 |
| Mary Beth Darling | Nurse Practitioner | Promedica Central Corporation of Michigan | 200 E Russell Rd C, Tecumseh, MI 49286-2072 |
| Mindy A Howard | Nurse Practitioner | Promedica Central Corporation of Michigan | 901 Kimole Ln, A4, Adrian, MI 49221-1491 |
| Shimea L Hunt | Physician Assistant | Promedica Central Corporation of Michigan | 200 E Russell Rd, Unit C, Tecumseh, MI 49286-2072 |
| Daniel R Doman | Family Medicine | Promedica Central Corporation of Michigan | 818 Riverside Ave 5th Floor Cardiology, Adrian, MI 49221-1446 |
| Louise A Justus | Physician Assistant | Promedica Central Corporation of Michigan | 400 N Main St A, Onsted, MI 49265-9203 |
| Konda B C Mouli | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Jody C Rhames | Family Medicine | Promedica Central Corporation of Michigan | 901 Kimole Lane, A1, Adrian, MI 49221-1491 |
| Tariq Aqil Siddiqi | Family Medicine | Promedica Central Corporation of Michigan | 750 High St, Adrian, MI 49221-1443 |
| Street Address |
777 KIMOLE LN SUITE 220 |
| City | ADRIAN |
| State | MI |
| Zip | 49221-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Konda B C Mouli | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Johnathan D Herschman | Urology | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Kevin J Siemen | Physician Assistant | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| David Diep | General Surgery | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| Bryce Robert Woelmer | Physician Assistant | Promedica Central Physicians LLC | 777 Kimole Ln, Suite 250, Adrian, MI 49221-1400 |
| Anne Elisabeth Butts | Nurse Practitioner | Promedica Central Corporation of Michigan | 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400 |
| William Clark Decker | Pulmonary Disease | 777 Kimole Ln, Suite 100, Adrian, MI 49221-1478 | |
| Nizar Hariri | General Surgery | Promedica Central Physicians LLC | 777 Kimole Ln, Suite 250, Adrian, MI 49221-1400 |
| Steven A Sherman | Neurology | 777 Kimole Ln, Suite 210, Adrian, MI 49221-1479 | |
| Faheem Ahmad | Radiation Oncology | Toledo Radiation Oncology, Plc | 777 Kimole Ln, Adrian, MI 49221-1478 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Shemick | Chiropractic | 3264 N Adrian Hwy, Adrian, MI 49221-1144 | |
| Alan L Ellerholz | Chiropractic | 2890 N Adrian Hwy, Adrian, MI 49221-1190 | |
| Chad W Edison | Chiropractic | 1921 Us Hwy 223, Adrian, MI 49221-1242 | |
| Tayler J Suydam | Chiropractic | 1149 Sand Creek Hwy, Unit B, Adrian, MI 49221-1288 | |
| Jonathan M Bernstein | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| David P Trujillo | Optometry | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Rashawn W Venerable | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Neal A Tolchin | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 1801 W Maumee St, 100 Specialty Eye Institute, Adrian, MI 49221-1291 |
| Andrew Smith Jr. | Obstetrics/gynecology | 1548 W Maumee St G, Adrian, MI 49221-1382 | |
| Michele A Gardner | Obstetrics/gynecology | 1542 W Maple Ave, Adrian, MI 49221-1392 | |
| Find all physicians in zip 49221 | |||
| City | ADRIAN |
| Zip Code | 49221 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ADRIAN + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Samantha M Mucha.
| 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.