Samuel Cory

Key facts

NPI

1215515531

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

35.148879 (OH)

Practice address

730 W Market St
Lima, OH 45801-4602

Phone

(419) 227-3361

NPI assigned

Mar 30, 2021

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Mercy Emergency Care Services, Inc. Emergency Medicine Physician · Toledo, OH · NPI 1477957819
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · OH
• Emergency Professional Services, Inc. Emergency Medicine Physician · Seaman, OH · NPI 1093762353
  Medicare reassignment NPD EMERGENCY MEDICINE · OH
• Lima Memorial Joint Operating Company General Acute Care Hospital · Lima, OH · NPI 1336144732
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-St Ritas Medical Center LLC Psychiatric Hospital Unit · Lima, OH · NPI 1447276936
  Care Compare affiliation Hospital
• Mercy Health-St Ritas Medical Center LLC General Acute Care Hospital · Lima, OH · NPI 1811939887
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Emergency Care Services Inc (64 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health St Ritas Medical Center Hospital · Lima, OH · CCN 360066

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2024.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1215515531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORY",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.148879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

• Steven C Copeland, MD
• Graham Andrew Copus
• Cora South Carolina LLC
• Brittany Jessica Cortez
• Jennifer Cory
• Michael Keith Cotrell, CRNA
• Tiyanna Lynne Cotton, LPN
• Cassandra Coulter
• Counseling Awareness Center, LLC
• Counseling Center for Wellness

All providers in Lima, OH · Emergency Medicine Physician in Ohio