Provider Demographics
NPI:1902807969
Name:MCBEE, SAMANTHA A (DO)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:A
Last Name:MCBEE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8333 FELCH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464
Practice Address - Country:US
Practice Address - Phone:616-748-2850
Practice Address - Fax:616-748-2855
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101014131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI114356270Medicaid
MIP00088827OtherRAILROAD MEDICARE
MI08-5-70-1098-4OtherBCBS
MI134160OtherPREFERRED CHOICE
MI114431624OtherACCESS HEALTH
MI19886OtherHEALTH PLAN
MIP00088827OtherRAILROAD MEDICARE
MIH51950Medicare UPIN