NPIMap

Individual provider Active NPI

Christie L Samuels, MD

  • Family Medicine Physician
  • Davison, MI
National Provider Identifier
1083716757
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068263 Issued in MI
Practice address
8020 Davison Rd
Davison, MI 48423-2029
Phone
(810) 653-4145
Fax
(810) 653-1741
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301068263 MI Primary

Addresses

Primary practice location

8020 Davison Rd
Davison, MI 48423-2029

Mailing address

8020 Davison Rd
Davison, MI 48423-2029
Phone (810) 653-4145

Other identifiers 1

IdentifierTypeStateIssuer
4179710MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000585 MI Practitioner - Family Practice 6608911508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Henry Ford Medical Group GenesysGroup PAC ID 7214288281, 96 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

8020 Davison Rd
Davison, MI 48423-2029
Phone (810) 653-4145

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Grand Blanc, MI, CCN 237073
  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Medical Group Genesys Family Medicine CurrentSince Aug 21, 2018 Accepting new patients
Henry Ford Medical Group Genesys CurrentSince Aug 21, 2018 Accepting new patients
Genesys Pho LLC CurrentSince Mar 24, 2018 Accepting new patients
Henry Ford Medical Group Genesys Family Medicine Current Accepting new patients

Locations

8020 Davison Rd
Davison, MI 48423
Phone (810) 578-6901

307 E Court St
Flint, MI 48502
Phone (810) 341-7370

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337

Interoperability endpoints

  • Direct secure messaging: christiesamuels@pmi.allscriptsdirect.net
  • Direct secure messaging: csamuels1150137@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1083716757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 DAVISON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232029",
            "telephone_number": "810-653-4145",
            "fax_number": "810-653-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 DAVISON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484232029",
            "telephone_number": "810-653-4145",
            "fax_number": "810-653-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "CHRISTIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4179710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.