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MR. SAMUEL DAVID LICATA MD NPI 1710973870


NPI Information

NPI: 1710973870
Provider Name: MR. SAMUEL DAVID LICATA, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4000 JOHNSON RD
2ND FLOOR
STEUBENVILLE, OH
ZIP 43952
Phone: (740) 266-5959
Get Directions

MR. Samuel David Licata, MD is a surgery in Steubenville, OH with 34 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MR. Samuel David Licata, MD NPI is 1710973870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

4000 JOHNSON RD
2ND FLOOR
STEUBENVILLE, OH
ZIP 43952-364
Phone: (740) 266-5959
Fax: (740) 266-5957

The NPI 1710973870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)

The enumeration date for this NPI number is 9/23/2005 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery18107WEST VIRGINIANo
2208600000XSurgeryMD048163LPENNSYLVANIANo
3208600000XSurgery35064482OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19913724MEDICARE ID-TYPE UNSPECIFIEDOHIO
20785011MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
30188381MEDICAIDOHIO
4G09185MEDICARE UPIN
50785012MEDICARE ID-TYPE UNSPECIFIEDOHIO
69913723MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
70126291000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.