Individual provider Active NPI

Samantha Cherise Wein, MD

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1346779915
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301502024 Issued in MI
Practice address
33523 8 Mile Rd Ste M2
Livonia, MI 48152-4119
Phone
(248) 824-2675
Fax
(248) 824-2676
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4301502024 MI Primary

Addresses

Primary practice location

33523 8 Mile Rd Ste M2
Livonia, MI 48152-4119

Mailing address

33523 8 Mile Rd Ste M2
Livonia, MI 48152-4119
Phone (248) 824-2675

Other practice location 1

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

Other names 1

  • Samantha Cherise Brown Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910000113 MI Practitioner - Family Practice 0042638900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

33523 8 Mile Rd
Suite M2
Livonia, MI 48152-4119
Phone (248) 824-2675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Nov 1, 2020 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients

Locations

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Organizations & group practices 3

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 3

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346779915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33523 8 MILE RD STE M2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524119",
            "telephone_number": "248-824-2675",
            "fax_number": "248-824-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33523 8 MILE RD STE M2",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524119",
            "telephone_number": "248-824-2675",
            "fax_number": "248-824-2676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16001 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480754818",
            "country_code": "US",
            "telephone_number": "248-849-3000",
            "fax_number": "248-849-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIN",
        "first_name": "SAMANTHA",
        "middle_name": "CHERISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301502024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BROWN",
            "middle_name": "CHERISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.