Southampton Hospital Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60199468 Issued in NY

Legal business name

SOUTHAMPTON HOSPITAL ASSOCIATION

Practice address

240 Meeting House LN
Southampton, NY 11968-5009

Phone

(631) 726-8520

Fax

(631) 726-8291

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Christopher J. Schultheis

Title

Chief Financial Officer

Phone

(631) 726-8300

Specialties & licenses 1

Addresses

Other names 1

• Wellness Institute Other name

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1205089786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8520",
            "fax_number": "631-726-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8520",
            "fax_number": "631-726-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-726-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60199468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Fork Medical Associates PC
• Southampton Care Center
• Southampton Endodontics, P.C.
• Southampton Hospital
• Southampton Hospital
• Southampton Hospital Association
• Southampton Immediate Medical Care PC
• Southampton Medical PC
• Southampton Optiks LTD
• Southampton Physical Therapy PC

• Family Medicine Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.