Samuel V Bartholomew MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD24703 Issued in OR

Legal business name

SAMUEL V BARTHOLOMEW MD PC

Doing business as

Samuel V Bartholomew MD

Practice address

9155 SW Barnes Rd
Suite 532
Portland, OR 97225-6625

Phone

(503) 292-9737

Fax

(503) 292-9680

NPI assigned

Jul 28, 2008

Last updated

Jul 28, 2008By 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

Dr. Samuel V Bartholomew, M.D.,

Title

Owner

Phone

(503) 292-9737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAMUEL V BARTHOLOMEW MD Doing business as

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1205091394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 532",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-292-9737",
            "fax_number": "503-292-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL V BARTHOLOMEW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-292-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD24703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022461",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMUEL V BARTHOLOMEW MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza Samson, MD
• Samuel D Seo, DMD, PC
• Samuel G Shiley MD LLC
• Samuel J Higdon DDS PC
• Samuel T Wells, DMD, LLC
• Helen Samuel
• Nathan David Samuel, AGACNP
• Deborah Samuels, L. P. C.
• Eboni Dee Samuels
• Kimberly A Samuels

• Plastic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.