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SAM PITTMON MD NPI 1265478770


NPI Information

NPI: 1265478770
Provider Name: SAM PITTMON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-3311
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Sam Pittmon, MD is an emergency medicine in Bloomington, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Sam Pittmon, MD NPI is 1265478770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701-364
Phone: (309) 662-3311

The enumeration date for this NPI number is 6/22/2006 and was last updated on 5/21/2008.


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
1207P00000XEmergency Medicine036055277ILLINOISYes

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
1C46236MEDICARE UPINILLINOIS
2K45475MEDICARE PINILLINOIS
3K08198MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4036055277MEDICAIDILLINOIS

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: 11/14/2023

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.