Individual provider Active NPI

Sameta Fairchild Sosa, MD

  • Emergency Medicine Physician
  • Uvalde, TX
National Provider Identifier
1043400757
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9962 Issued in TX
Practice address
124 Royal LN
Uvalde, TX 78801-4838
Phone
(830) 278-6691
Fax
(830) 278-7533
NPI assigned
Jul 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2007016408 MO
Emergency Medicine Physician 207P00000X N9962 TX Primary

Addresses

Primary practice location

124 Royal LN
Uvalde, TX 78801-4838

Mailing address

1017 N 4TH St
Uvalde, TX 78801-3501
Phone (830) 261-0886

Other names 1

  • Sameta Shrauner Fairchild Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000772 TX Practitioner - Hospice/Palliative Care 8921275173 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007016408MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde County Hospital Authority CurrentSince Jan 20, 2014 Accepting new patients
Uvalde County Hospital Authority CurrentSince Jan 20, 2014 Accepting new patients
Victoria Emergency Associates LLC Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Uvalde County Hospital Authority Past Accepting new patients
South Texas Hospitalist Associates LLC Past Accepting new patients

Locations

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

124 Royal Ln
Uvalde, TX 78801
Phone (830) 278-6691

1038 Garner Field Rd
Uvalde, TX 78801
Phone (210) 655-8470

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uvalde HospiceUvalde, TX, CCN 451675 Hospice Corporate Director
W-2 Managing Employee
Jan 1, 2013
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1043400757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N 4TH ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788013501",
            "telephone_number": "830-261-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROYAL LN",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014838",
            "telephone_number": "830-278-6691",
            "fax_number": "830-278-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "SAMETA",
        "middle_name": "FAIRCHILD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-29",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2007016408",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMETA",
            "last_name": "FAIRCHILD",
            "middle_name": "SHRAUNER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.