Active NPI
Gregory C Sampognaro MD
- Specialist
- Monroe, LA
National Provider Identifier
1235337346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11645R
- Legal business name
- GREGORY C SAMPOGNARO MD
- Practice address
- 2503 Broadmoor Blvd
Monroe, LA 71201-2987 - Phone
- (318) 322-7726
- Fax
- (318) 322-2614
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory C Sampognaro, M.D.
- Title
- MD
- Phone
- (318) 322-7726
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11645R | LA | Primary |
Addresses
Primary practice location
2503 Broadmoor Blvd
Monroe, LA 71201-2987
Mailing address
2503 Broadmoor Blvd
Monroe, LA 71201-2987
Phone (318) 322-7726
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4388289030 | Other | LA | BLUE CROSS BLUE SHIELD |
| 060061109 | Medicaid | LA | |
| 060061109 | Other | LA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Monroe, LA
- NPI 1467546168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1235337346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 BROADMOOR BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012987",
"telephone_number": "318-322-7726",
"fax_number": "318-322-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2503 BROADMOOR BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012987",
"telephone_number": "318-322-7726",
"fax_number": "318-322-2614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY C SAMPOGNARO MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "SAMPOGNARO",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "318-322-7726",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "11645R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4388289030",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060061109",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060061109",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.