SAMUEL K ROBERTS MD PC NPI 1457333403

NPI Information

  • NPI: 1457333403
  • Provider Name: SAMUEL K ROBERTS MD PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1200 HARRISON AVE
    STE 121
    ELKINS, WV
    ZIP 26241
  • Phone: (304) 636-6131

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NPI Details

SAMUEL K ROBERTS MD PC is a family medicine in Elkins, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAMUEL K ROBERTS MD PC NPI is 1457333403. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 HARRISON AVE
STE 121
ELKINS, WV
ZIP 26241-394
Phone: (304) 636-6131
Fax: (304) 637-5203

The provider's authorized official is Samuel Kump Roberts .
The authorized official title is Owner Md and has the following contact phone number (304) 636-6131.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 2/3/2012.

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
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A71990MEDICARE UPIN
20055757000MEDICAIDWEST VIRGINIA
39295951MEDICARE ID-TYPE UNSPECIFIEDWEST 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: 11/21/2025

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