Samuel Houston Dement, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

15989 Issued in SC

Practice address

8 Memorial Medical CT Ste 1
Greenville, SC 29605-4400

Phone

(864) 295-3492

Fax

(864) 295-4817

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Carolina Pathology Associates LLP

  • Anatomic Pathology Physician
  • Greenwood, SC
  • NPI 1518944107
  NPD (past)
• Clinical Pathology Consultants, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Conway, SC
  • NPI 1265483903
  NPD (past)
• Pathology Consultants, Inc

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1447212568

  Anatomic Pathology

  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1124007570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT STE 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054400",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMENT",
        "first_name": "SAMUEL",
        "middle_name": "HOUSTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "15989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159893",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Smith Deloach, PA-C
• Edward Swan Delorey, M.D.
• Demaine Chiropractic Inc
• Nicholas Andrew Demartini, MD
• Susan Marie Demartini, MD
• Susan D Demere, PHYSICAL THERAPIST
• Melanie Demoise, RN, BSN
• John Stephen Demosthenes, DMD
• Lauren Duffey Demosthenes, M.D.
• Loyce Dempsey

• Anatomic Pathology & Clinical Pathology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.