Sam William Campbell (NPI# 1205123890, PAC ID# 8123349867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1205123890 |
| PAC ID by PECOS | 8123349867 |
| Professional Enrollment ID | I20150615002232 |
| Full Name | Sam William Campbell |
| Organization Legal Name | EPMG SOUTHWEST MICHIGAN PLLC |
| Address |
31 N Saint Joseph Ave Niles MI 49120-2207 |
| Phone Number | 2696835510 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2769719236 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| 230078 | COMMUNITY HOSPITAL- WATERVLIET |
| Address | Phone | Organization |
|---|---|---|
| 31 N Saint Joseph Ave, Niles, MI 49120-2207 | 2696835510 | EPMG SOUTHWEST MICHIGAN PLLC |
| Organization Legal Name | EPMG SOUTHWEST MICHIGAN PLLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc D Headapohl | Emergency Medicine | Epmg Southwest Michigan Pllc | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Kevin A Hoffman | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Corita M Wheeler | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Robert John Nydza | Emergency Medicine | Epmg Southwest Michigan Pllc | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Joseph M Mccarthy | Emergency Medicine | Epmg Southwest Michigan Pllc | 1234 Napier Ave, Saint Joseph, MI 49085-2112 |
| Sheila M Philpott | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Larisa R Grinvalds | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Gerald A Friedman | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Maddi A Massa | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Alexander A Spiewak | Emergency Medicine | Epmg Southwest Michigan Pllc | 400 Medical Park Dr, Watervliet, MI 49098-9225 |
| Street Address |
31 N SAINT JOSEPH AVE |
| City | NILES |
| State | MI |
| Zip | 49120-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Holman | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Andrew C Wirebaugh | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Kevin A Hoffman | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Ryan T Hagley | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Denise C Brown | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Jereme Paul Long | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Megan Sobbry - Hagley | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Megan A Schrader | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| James P Kelly Iii | Nurse Practitioner | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Dale G Moore | Certified Registered Nurse Anesthetist (crna) | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Fox | Podiatry | 201 N 17th St, Niles, MI 49120-2100 | |
| Kristen A Whitworth | Emergency Medicine | Epmg Southwest Michigan Pllc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Lucas A Gravelyn | Certified Registered Nurse Anesthetist | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Daniel G Judge | Anesthesiology | Eden Anesthesia Services Inc | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| William G Busso | Certified Registered Nurse Anesthetist | Eden Anesthesia Services Inc. | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Scott L Coddington | Certified Registered Nurse Anesthetist | Eden Anesthesia Services Inc. | 31 N Saint Joseph Ave, Niles, MI 49120-2207 |
| Laurie Ann Gee | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Aaron Lanning | Nurse Practitioner | Lakeland Medical Practices | 42 N St Joseph Ave, 300 Lakeland Ear Nose and Throat, Niles, MI 49120-2208 |
| Sharon A Rooney Gandy | General Surgery | Lakeland Medical Practices | 42 N St Joseph Ave, 103 Lakeland Center for Wound Care and Hyperbaric Medi, Niles, MI 49120-2208 |
| Kenneth W Kaufmann Ii | Obstetrics/gynecology | Lakeland Medical Practices | 42 N St Joseph Ave, 201 Swmc Womens Health, Niles, MI 49120-2208 |
| Find all physicians in zip 49120 | |||
| City | NILES |
| Zip Code | 49120 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NILES + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Sam William Campbell.
| 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.