Samara Ruder (NPI# 1669946489, PAC ID# 8820331481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669946489 |
| PAC ID by PECOS | 8820331481 |
| Professional Enrollment ID | I20190522001406 |
| Full Name | Samara Ruder |
| Organization Legal Name | CENTERS FOR PAIN CONTROL, INC |
| Address |
11420 Broadway Crown Point IN 46307-7106 |
| Phone Number | 2193267246 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416019450 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150006 | LA PORTE HOSPITAL |
| 150035 | PORTER REGIONAL HOSPITAL |
| 150002 | METHODIST HOSPITALS INC |
| 150015 | FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY |
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11420 Broadway, Crown Point, IN 46307-7106 | 2193267246 | CENTERS FOR PAIN CONTROL, INC |
| Organization Legal Name | CENTERS FOR PAIN CONTROL, INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Michael Gress | Chiropractic | Centers for Pain Control, Inc | 1928 45th Ave, Munster, IN 46321-3917 |
| Lakia S Brown | Chiropractic | Centers for Pain Control, Inc | 204 Legacy Plaza W, Laporte, IN 46350-5285 |
| Keerthi D Prasad | Diagnostic Radiology | Centers for Pain Control, Inc | 2211 Roosevelt Rd, Valparaiso, IN 46383-2748 |
| Rohit S Puranik | Anesthesiology | Centers for Pain Control, Inc | 2205 Roosevelt Rd, Valparaiso, IN 46383-2748 |
| Chetan S Puranik | Anesthesiology | Centers for Pain Control, Inc | 1924 45th St, Munster, IN 46321-3917 |
| Julie Ann Stein | Nurse Practitioner | Centers for Pain Control, Inc | 201 Main St, Suite A, Hobart, IN 46342-4439 |
| Simon G Ho | Pain Management | Centers for Pain Control, Inc | 201 Main St, Hobart, IN 46342-4439 |
| Jennifer Razey | Chiropractic | Centers for Pain Control, Inc | 204 Legacy Plaza W, Laporte, IN 46350-5285 |
| Matthew S Blackmon | Chiropractic | Centers for Pain Control, Inc | 204 Legacy Plaza W, Laporte, IN 46350-5285 |
| Phoxay Phetthongsy | Chiropractic | Centers for Pain Control, Inc | 1928 45th Ave, Munster, IN 46321-3917 |
| Street Address |
11420 BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CROWN POINT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samara Ruder.
| 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.