Active NPI
Cheressa Raquel Hamm, PA-C
- Medical Physician Assistant
- Saline, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601008264
- Practice address
- 1235 Industrial Dr Ste 1
Saline, MI 48176-1742 - Phone
- (734) 944-8000
- NPI assigned
- Jun 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601008264 | MI | Primary |
Addresses
Primary practice location
1235 Industrial Dr Ste 1
Saline, MI 48176-1742
Mailing address
3315 Syckelmoore St
Trenton, MI 48183-3570
Phone (419) 966-7891
Other practice location 1
3145 W Clark Rd Ste 401
Ypsilanti, MI 48197-1120
Phone (734) 528-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050
3626 S Detroit Ave
Toledo, OH 43614-4412
Phone (419) 272-6020
505 N Reynolds Rd
Toledo, OH 43615-0705
Phone (567) 803-0421
505 Trenton Ave
Findlay, OH 45840-3749
Phone (419) 463-9050
7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-4664
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- chamm36778@direct.trinity-health.org
- chamm3030596@direct.bsmhealth.org
- cheressa.hamm@henrycountyhospital.medicity.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Milford, OH
- NPI 1588390942
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528596558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 SYCKELMOORE ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481833570",
"telephone_number": "419-966-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 INDUSTRIAL DR STE 1",
"city": "SALINE",
"state": "MI",
"postal_code": "481761742",
"telephone_number": "734-944-8000"
}
],
"practiceLocations": [
{
"address_1": "3145 W Clark Rd Ste 401",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481971120",
"country_code": "US",
"telephone_number": "734-528-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMM",
"first_name": "CHERESSA",
"middle_name": "RAQUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601008264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.