Individual provider Active NPI

Pamela L Dasher, MD

  • Family Medicine Physician
  • Canton, MI
National Provider Identifier
1952378358
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301080058 Issued in MI
Practice address
45211 Cherry Hill Rd
Canton, MI 48188-1001
Phone
(313) 623-4741
Fax
(734) 769-0045
NPI assigned
Mar 3, 2006
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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 4301080058 MI Primary

Addresses

Primary practice location

45211 Cherry Hill Rd
Canton, MI 48188-1001

Mailing address

50769 Snowmass CT
Canton, MI 48187-7716
Phone (313) 623-4741

Other identifiers 13

IdentifierTypeStateIssuer
080D410020OtherMIBCN
1019346OtherMIMCLAREN HEALTH PLAN
4823366MedicaidMI
382988086OtherMIFIRST HEALTH
01003172OtherMIHEALTH PLUS
080D410020OtherMIBLUE CROSS BLUE SHIELD
P00295235OtherMIMETRAHEALTH
1019346OtherMIHEALTH ADVANTAGE NETWORK
080D410020OtherMICOMMUNITY BLUE
17477OtherMIMCARE
080D410020OtherMIBLUE CHOICE
382988086OtherMIUNITED HEALTHCARE
I49240OtherMIHEALTH NET FEDERAL SERVIC

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
I20060208000598 MI Practitioner - Family Practice 2961417233 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45211 Cherry Hill Rd
Canton, MI 48188-1001
Phone (734) 664-6147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080058MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Inc CurrentSince May 1, 2023 Accepting new patients
Dasher Medical Group PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Family Health Center Inc CurrentSince May 1, 2023 Accepting new patients
McLaren Flint Family Medicine Past Accepting new patients
McLaren Medical Group Family Medicine Past Accepting new patients

Locations

45211 Cherry Hill Rd
Canton, MI 48188
Phone (313) 623-4741

117 W Paterson St
Kalamazoo, MI 49007

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

Interoperability endpoints

  • Direct secure messaging: pamela.dasher.1@28445.direct.athenahealth.com
  • Direct secure messaging: pdasher24503@direct.hurleymc.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1952378358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50769 SNOWMASS CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481877716",
            "telephone_number": "313-623-4741",
            "fax_number": "734-769-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45211 CHERRY HILL RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881001",
            "telephone_number": "313-623-4741",
            "fax_number": "734-769-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHER",
        "first_name": "PAMELA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "080D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1019346",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823366",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "382988086",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01003172",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "P00295235",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE NETWORK",
            "identifier": "1019346",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "080D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "17477",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "080D410020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "382988086",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL SERVIC",
            "identifier": "I49240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.