Samuel P Rojas MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

12964 Issued in WV

Legal business name

SAMUEL P ROJAS MD INC

Practice address

143 1/2 Stollings Ave
Logan, WV 25601-4010

Phone

(304) 752-4926

Fax

(304) 752-4952

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Rojas, MD

Title

Ceo

Phone

(304) 752-4926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1124303151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010958",
            "telephone_number": "304-752-4926",
            "fax_number": "304-752-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 1/2 STOLLINGS AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014010",
            "telephone_number": "304-752-4926",
            "fax_number": "304-752-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL P ROJAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-752-4926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Logan, WV
• Providers in Logan, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.