Debra C Sams DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E35409 Issued in WV

Legal business name

DEBRA C SAMS DO

Practice address

122 Maplewood Avenue
Ronceverte, WV 24970

Phone

(304) 645-4406

NPI assigned

Sep 26, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra C Crites-Sams, DO

Title

Owner/Physician

Phone

(304) 645-4406

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Halterman, FNP

  • Family Nurse Practitioner
  • Ronceverte, WV
  • NPI 1295968691
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1073700837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MAPLEWOOD AVENUE",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-645-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA C SAMS DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CRITES-SAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-645-4406",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "E35409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010441",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halea Dangott
• Wilma Dangott
• Daniel M Davis, DPT
• Jessica R Davis, CRNA
• Katherine V Dean, CRNA
• Allison Deem
• Dermatology Centers Inc.
• Crystal D Dixon-Largen, OT
• Mary Nicole Dolan, RN
• Travis Dolan

• Family Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.