Samantha M Mucha
PROMEDICA CENTRAL CORPORATION OF MICHIGAN


Address: 777 Kimole Ln, Suite 220, Adrian, MI 49221-1400
Phone: 5172636464

Samantha M Mucha (NPI# 1326056003, PAC ID# 6709882103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230005 EMMA L BIXBY MEDICAL CENTER
231334 PROMEDICA HERRICK HOSPITAL

Other Locations

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 Information

Organization Legal Name PROMEDICA CENTRAL CORPORATION OF MICHIGAN
Physicians 53

Physicians with the same organization

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

Office Location

Street Address 777 KIMOLE LN
SUITE 220
City ADRIAN
State MI
Zip 49221-1400

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

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City ADRIAN
Zip Code 49221
Specialty OTOLARYNGOLOGY
City + Specialty ADRIAN + OTOLARYNGOLOGY

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Dataset Information

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.

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