Active NPI
Michael John Samson, MD
- Otolaryngology Physician
- Topsham, ME
National Provider Identifier
1164482071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 015351
- Practice address
- 44 Elm St
Topsham, ME 04086 - Phone
- (207) 725-4455
- Fax
- (207) 725-4861
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 015351 | ME | Primary |
Addresses
Primary practice location
44 Elm St
Topsham, ME 04086
Mailing address
44 Elm St
Topsham, ME 04086
Phone (207) 725-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178190000 | Medicaid | ME |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015351 | ME | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ear Nose and Throat PA | Otolaryngology | Past | 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.
-
- Otolaryngology Physician
- Topsham, ME
- NPI 1831385293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1164482071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 ELM ST",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "04086",
"telephone_number": "207-725-4455",
"fax_number": "207-725-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 ELM ST",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "04086",
"telephone_number": "207-725-4455",
"fax_number": "207-725-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ME",
"license": "015351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178190000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Topsham, ME
- Rousseau Enterprises, Inc.
- Herve Ruhembura
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Saco Bay Orthopaedic and Sports Physical Therapy, Inc.
- Danielle M. Senecal, LCSW
- Servants of the Cross
- Kady Shoults, AUD
- Teresa Weeks Sirois, FNP
- Sarah J. Slagle-Arnold, PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.