SAMANTHA RITA KASSAB


Address: 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982
Phone: 2488933200

SAMANTHA RITA KASSAB (NPI# 1639447279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639447279
Entity Type Individual
Full Name SAMANTHA RITA KASSAB
Other Name SAMANTHA RITA GARMO
Credential NP
Practice Address 28455 Haggerty Rd Ste 200
Novi
MI 48377-2982
Mailing Address 6676 Solutions Ctr
Chicago
IL 60677-6006
Practice Telephone 2488933200
Practice Fax Number 2488932950
Mailing Telephone 2488933220
Mailing Fax Number 2488932951
Enumeration Date 2011-12-10
Last Update Date 2018-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704266211 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 28455 HAGGERTY RD STE 200
City NOVI
State MI
Zip Code 48377-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124020276 Edward Gerard Loniewski Orthopaedic Surgery 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 2005-06-01
1912484775 Jess M Scaria Nurse Practitioner 28455 Haggerty Rd Ste 200, Novi, MI 48377-2982 2018-07-24
1598190902 Rehabilitation Physicians, PC Physical Medicine & Rehabilitation 28455 Haggerty Rd Ste 200, Novi, MI 48377 2013-09-05
1891783916 Rehabilitation Physicians PC Physical Medicine & Rehabilitation 28455 Haggerty Rd Ste 200, Novi, MI 48377 2005-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679075758 Andrea Campbell Nurse Practitioner 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 2018-03-05
1811421928 Michigan Eye and Contact Lens Pllc Optometrist 42081 14 Mile Road, Novi, MI 48377 2017-04-14
1336695691 Deanna Lynne Klein Speech-Language Pathologist 44140 Fox Run Road, Novi, MI 48377 2016-08-28
1871940973 Jaime Durante Nurse Practitioner 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 2016-05-18
1508225624 Trilogy Healthcare of Oakland II, LLC Skilled Nursing Facility 41795 W 12 Mile Road, Novi, MI 48377 2016-02-17
1144688854 Hussein Azzam Allergy & Immunology 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 2016-02-09
1598120164 Nova Counseling Services Inc. Counselor 41650 Clemens Circle, Novi, MI 48377 2015-12-23
1891174587 Reem Mariam Mansour Occupational Therapist 44125 West 12 Mile Rd E-123, Novi, MI 48377 2015-05-27
1154747095 Ali Hassan Ismail Dentist 41920 Wolfe Pass, Novi, MI 48377 2014-03-17
1558703876 Twelve Oaks Orthodontics Pllc Dentist 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 2013-07-29
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184107427 Josilyn Goebel Nurse Practitioner 39465 W 14 Mile Rd, Novi, MI 48377-1600 2018-09-12
1700247772 Kamera Sakeena Boggon Nurse Practitioner 39465 W 14 Mile Rd, Novi, MI 48377-1600 2016-03-17
1154727147 Behavioral Care Solutions for Adults and Seniors, Inc. Nurse Practitioner 39465 W 14 Mile Rd, Novi, MI 48377-1600 2014-11-18
1568889004 Lorna Broom Nurse Practitioner 28455 Haggerty Rd, Ste 200, Novi, MI 48377-2982 2014-03-22
1760810741 Jennifer Witmer Nurse Practitioner 24230 Karim Blvd, Novi, MI 48375-2960 2013-10-29
1699084343 Veronica Shivachi Nurse Practitioner 24110 Meadowbrook Rd, Suite 206, Novi, MI 48375-3459 2010-09-29
1295915031 Constance J. Creech Nurse Practitioner 39595 W 10 Mile Rd, Novi, MI 48375-2948 2007-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275130619 Mohammad Afzal Khan Nurse Practitioner 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 2020-10-08
1528679305 Eriko Apriliando Nurse Practitioner 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 2020-08-13
1245858307 Katherine Perko Hollander Nurse Practitioner 2274 Earlmont Rd, Berkley, MI 48072-1877 2020-07-06
1437782067 Jamie Lynn Kosalsky Nurse Practitioner 1385 Cadmus Dr, Troy, MI 48085-1218 2020-02-21
1326698309 Maria Christina Mekas Nurse Practitioner 423 Tamarack Dr, Saline, MI 48176-9573 2019-09-12
1669021358 Cheryl Fowler Nurse Practitioner 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 2019-09-05
1205482387 Sarah E Born Nurse Practitioner 517 Erie Street, Three Rivers, MI 49093-2029 2019-08-14
1023660321 Cheri Van Wyngarden Nurse Practitioner 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 2019-07-16
1194385500 Adesuwa Iyoha Nurse Practitioner 30509 Halecreek St, Romulus, MI 48174-3224 2019-06-18
1740740190 John Kenneth Dekock Nurse Practitioner 5327 48th Ave, Hudsonville, MI 49426-9412 2019-03-21
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Competitor

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City NOVI
Zip Code 48377

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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