Individual provider Active NPI

Samuel D Stuart, CPO

  • Prosthetist
  • High Point, NC
National Provider Identifier
1073034443
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
401 Westwood Ave
High Point, NC 27262-4344
Phone
(336) 885-6565
Fax
(336) 885-6579
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X
Prosthetist 224P00000X Primary

Addresses

Primary practice location

401 Westwood Ave
High Point, NC 27262-4344

Mailing address

401 Westwood Ave
High Point, NC 27262-4344
Phone (336) 885-6565

Other practice location 1

721 N Elm St Ste 101
High Point, NC 27262-3929
Phone (336) 889-7661

Other practice location 2

1710 S Hawthorne Rd
Winston Salem, NC 27103-4016
Phone (336) 768-3666

Other identifiers 1

IdentifierTypeStateIssuer
CPO03809OtherABC

Other names 1

  • Mr. Sam D Stuart Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Tech Prosthetics and Orthotics of High Point Inc PastSince Dec 26, 2021 Accepting new patients

Organizations & group practices 1

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073034443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624344",
            "telephone_number": "336-885-6565",
            "fax_number": "336-885-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624344",
            "telephone_number": "336-885-6565",
            "fax_number": "336-885-6579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 N Elm St Ste 101",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272623929",
            "country_code": "US",
            "telephone_number": "336-889-7661",
            "fax_number": "336-889-7662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 S Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034016",
            "country_code": "US",
            "telephone_number": "336-768-3666",
            "fax_number": "336-768-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC",
            "identifier": "CPO03809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "STUART",
            "middle_name": "D",
            "prefix": "MR.",
            "credential": "CPO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.