Ginn J Samuel

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704255325 Issued in MI

Practice address

36601 Grand River Ave
Apt 103
Farmington, MI 48335-2960

Phone

(586) 864-6177

NPI assigned

Feb 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1972843431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36601 GRAND RIVER AVE",
            "address_2": "APT 103",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352960",
            "telephone_number": "586-864-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36601 GRAND RIVER AVE",
            "address_2": "APT 103",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352960",
            "telephone_number": "586-864-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "GINN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704255325",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704255325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Rose, DC
• Jordan Royer
• Margaret Mary Rudis, PT
• Michaelene Renee Ruhl, PSYD, LLP
• Ryan Saab, M.D.
• Jewel Toyia Sanders
• Remi Sarna, D.D.S.
• Scarfe Chiropractic P.C. (Farmington Chiropractic)
• Schiffer Chiropractic
• Eric M Schiffer, DC

• Certified Registered Nurse Anesthetist in Farmington, MI
• Providers in Farmington, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.