Ehmeth Medical Services, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

115662 Issued in NY

Legal business name

EHMETH MEDICAL SERVICES, PC

Practice address

3130 Grand Concourse
Suite B5
Bronx, NY 10458-1213

Phone

(718) 364-3322

Fax

(718) 364-2790

NPI assigned

Sep 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel R Walters, M.D.

Title

Internist

Phone

(718) 364-3322

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1033426937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 QUEENS BLVD",
            "address_2": "1ST FLOOR",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114352930",
            "telephone_number": "718-850-6345",
            "fax_number": "718-559-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE B5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-364-3322",
            "fax_number": "718-364-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHMETH MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "718-364-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "115662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EMPIRE",
            "identifier": "A300024689",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GHI",
            "identifier": "G300013444",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00213896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Egyir Odoom
• Kweku Egyir
• Abagail M Eheart
• Efosa Charles Ehigie
• Ehizogie Ehioghiren, LPN
• Azimah Pilus Ehr, M.D.
• Kenneth Ehrensall, OD
• Amy R Ehrlich, MD
• Darie Ehrlich, DNP
• Randall Victor Ehrlich, M.D

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.