Joshua Clark Samuelson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C7-0003446 Issued in DE

Practice address

1401 Foulk Rd
Wilmington, DE 19803-2763

Phone

(302) 477-3300

Fax

(302) 477-3311

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Twin Rivers Medical PCGroup PAC ID 6406123405, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
• Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012
• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
• The Center for Nursing and Rehab at Hoosick Falls Nursing home, Hoosick Falls, NY, CCN 335601

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.samuelson.1@3744.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4

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.

• Twin Rivers Medical PC

  • Family Medicine Physician
  • Hoosick Falls, NY
  • NPI 1699143800
  Medicare reassignment Care Compare group NPD
• Twin Rivers Medical PC

  • Surgery Physician
  • Albany, NY
  • NPI 1063229458
  NPD
• Hoosick Falls Health Center, Inc

  • Skilled Nursing Facility
  • Hoosick Falls, NY
  • NPI 1467447219
  NPD (past)
• Southwestern Vermont Medical Center, Inc

  • Orthopaedic Surgery Physician
  • Bennington, VT
  • NPI 1487930632
  NPD (past)

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

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation
• Home Aide Service of Eastern New York, Inc.

  • Home Health Agency
  • Troy, NY
  • NPI 1114967924
  Care Compare affiliation
• Hoosick Falls Health Center, Inc

  • Skilled Nursing Facility
  • Hoosick Falls, NY
  • NPI 1467447219

  Nursing home

  Care Compare affiliation
• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Care Compare affiliation
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  Care Compare affiliation

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1245365790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001 CHRISTIANA HOSPITAL",
            "address_2": "C/O ACADEMIC AFFAIRS, SUITE 2A00",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "JOSHUA",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C7-0003446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fida Sami
• Scott Thomas Samples, PHARMD
• Kimberly Samson
• Mary Lau Samuel, LSW
• Nikki Samuels
• Katherine Samworth, PT
• Marianne Camille San Antonio, DO
• Sanare Today, LLC
• Emily Grace Sanchelli
• Amani Sanchez

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.