DR. NADEZDA SAMPLES DO NPI 1376958058

NPI Information

NPI: 1376958058
Provider Name: DR. NADEZDA SAMPLES, DO
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3110 MACCORKLE AVE SE RM 58
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-9947
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DR. Nadezda Samples, DO is a general practice in Charleston, WV. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Nadezda Samples, DO NPI is 1376958058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3110 MACCORKLE AVE SE RM 58
CHARLESTON, WV
ZIP 25304-210
Phone: (304) 388-9947

The NPI 1376958058 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 enumeration date for this NPI number is 6/21/2014 and was last updated on 11/20/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208D00000X	General Practice		291755	NEW YORK	Yes

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

NPI Synchronization or Removal

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