Active NPI
Samuel Louis Esposito III, PA-C
- Physician Assistant
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA059318
- Practice address
- 145 Shaffer St
Williamsport, PA 17702-6727 - Phone
- (570) 327-1335
- Fax
- (570) 321-7800
- NPI assigned
- Sep 27, 2017
- Last updated
- Oct 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA059318 | PA | Primary |
Addresses
Primary practice location
145 Shaffer St
Williamsport, PA 17702-6727
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samuelespositopac@fpc.medentdirect.com | Health Information Exchange (HIE) | FAMILY PRACTICE CENTER, PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889
1705 Warren Ave
206 Susquehanna Health Urology
Williamsport, PA 17701-2664
Phone (570) 326-8090
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
246 S Main St
Hughesville, PA 17737-1614
Phone (570) 584-5144
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059318 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
Locations
246 S Main St
Hughesville, PA 17737
Phone (570) 584-5144
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
1205 River Ave
#1
Williamsport, PA 17701
Phone (570) 323-5991
145 Shaffer St
Williamsport, PA 17702
Phone (570) 326-2447
Interoperability endpoints
- samuelespositopac@fpc.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Susquehanna Health Medical Group
- Rheumatology Physician
- Williamsport, PA
- NPI 1801830807
-
- Emergency Medicine Physician
- Langhorne, PA
- NPI 1114955010
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Williamsport Hospital & Medical Center
- Land Ambulance
- Williamsport, PA
- NPI 1093890360
Hospital
-
dba Williamsport Regional Medical Center SPU- Divine Providence Campus
- Ambulatory Surgical Clinic/Center
- Williamsport, PA
- NPI 1225500770
Hospital
-
dba Williamsport Regional Medical Center
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1245749894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SHAFFER ST",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177026727",
"telephone_number": "570-327-1335",
"fax_number": "570-321-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPOSITO",
"first_name": "SAMUEL",
"middle_name": "LOUIS",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-27",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA059318",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samuelespositopac@fpc.medentdirect.com",
"affiliation": "Y",
"affiliationName": "FAMILY PRACTICE CENTER, PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "145 Shaffer St",
"city": "Williamsport",
"state": "PA",
"country_code": "US",
"postal_code": "177026727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.