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Sampson Wun-Sang Ho

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

350 Lafayette Ave SE, Suite 301, Grand Rapids, MI 49503-4656

PECOS Enrollment

This provider is enrolled in PECOS as SAMPSON HO.

Based on the most recent information from CMS, provider Sampson Wun-Sang Ho is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1437192374
Provider Type
Individual
Full Name
Ho, Sampson Wun-Sang
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/14/2006
Last Updated
4/1/2025

Contact Information

Practice Location

350 Lafayette Ave SE, Suite 301, Grand Rapids, MI 49503-4656

(616) 459-0801

(616) 459-4065

Mailing Location

350 Lafayette Ave SE, Suite 301, Grand Rapids, MI 49503-4656

(616) 459-0801

(616) 459-4065

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 4301041678 Michigan

Provider Identifiers

ID	Description	Issuer
ID 1677193	Description Medicaid	Issuer Unlisted Michigan
ID SH041678	Description Other	Issuer STATE LICENSE Michigan

Sampson Wun-Sang Ho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Heitjan, Frederick

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Armstrong, Kelly C

Fromson, Andrea

Andary, Michelle L

Lamm, Adam

Jonkman, Kaitlyn Marie

Vandenberg, Jonathan Christian

Wilcox, Donovan James