Sami Brake (NPI# 1043416811, PAC ID# 9830367085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH.
| Nation Provider ID (NPI) | 1043416811 |
| PAC ID by PECOS | 9830367085 |
| Professional Enrollment ID | I20171212001356 |
| Full Name | Sami Brake |
| Organization Legal Name | SPECTRUM HEALTH HOSPITALS |
| Address |
100 Michigan Ave Ne Grand Rapids MI 49503-2560 |
| Phone Number | 6163911774 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
| Secondary Specialties | HEMATOLOGY, INTERNAL MEDICINE, MEDICAL ONCOLOGY |
| Group Practice PAC ID | 8921904764 |
| Number of Group Practice Members | 136 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 | 6163911774 | SPECTRUM HEALTH HOSPITALS |
| 100 Michigan St Northeast, Grand Rapids, MI 49503-2560 | 6163911774 | SPECTRUM HEALTH HOSPITALS |
| Organization Legal Name | SPECTRUM HEALTH HOSPITALS |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Hilbert | Certified Nurse Midwife | Spectrum Health Hospitals | 100 Michigan St Northeast, Grand Rapids, MI 49503-2560 |
| Rachel L Vanstrien | Physician Assistant | Spectrum Health Hospitals | 100 Ne Michigan St, Mc 062, Grand Rapids, MI 49503-2560 |
| Adam G Edlund | Internal Medicine | Spectrum Health Hospitals | 25 Michigan Ne, Grand Rapids, MI 49503-2508 |
| Lara A Freeburger | Obstetrics/gynecology | Spectrum Health Hospitals | 330 Barclay Ne, Grand Rapids, MI 49503-2556 |
| Stephanie F Williams | Hematopoietic Cell Transplantation and Cellular Th | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Christopher Ratnasamy | Pediatric Medicine | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Nicole Ellis Sherwood | Nurse Practitioner | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Yasser Al-khatib | Cardiovascular Disease (cardiology) | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Neal D Hillman | Thoracic Surgery | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Sharon H Smith | Hematology/oncology | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Street Address |
100 MICHIGAN AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-2560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen U Tan Pedres | Internal Medicine | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Justin Miller | Physician Assistant | Orthopaedic Associates of Grand Rapids PC | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Stephanie F Williams | Hematopoietic Cell Transplantation and Cellular Th | Spectrum Health Hospitals | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Simin Beg | Internal Medicine | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Aashish A Deshpande | Physical Medicine and Rehabilitation | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Cathryn L Chadwick | General Surgery | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Gaby A Iskander | General Surgery | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Lisa Anne Andersson Zetye | Obstetrics/gynecology | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Bryant T Wilson | Physician Assistant | Advanced Radiology Services PC | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Gustavo Cumbo Nacheli | Pulmonary Disease | Spectrum Health Primary Care Partners | 100 Michigan Ave Ne, Grand Rapids, MI 49503-2560 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
| City + Specialty | GRAND RAPIDS + HEMATOPOIETIC CELL TRANSPLANTATION AND CELLULAR TH |
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| 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.