Active NPI
James Russell Sample Jr., D.O.
- Emergency Medicine Physician
- Greensburg, PA
National Provider Identifier
1255307435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS013679
- Practice address
- 532 W Pittsburgh St
Greensburg, PA 15601-2239 - Phone
- (724) 832-4358
- NPI assigned
- Feb 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS013679 | PA | Primary |
| Emergency Medicine Physician | 207P00000X | 34.008207 | OH |
Addresses
Primary practice location
532 W Pittsburgh St
Greensburg, PA 15601-2239
Mailing address
800 Fairview Rd
Pittsburgh, PA 15238-1706
Phone (412) 656-4557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsample@direct.excelahealth.org | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.39 of 100
- Quality
- 79.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008207 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westmoreland Emergency Medicine Specialists, PC | Emergency Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Marion Physician Billing LLC | Emergency Medicine | Past | Accepting new patients |
| Marion General Hospital Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Guernsey County, LTD | Emergency Medicine | Past | Accepting new patients |
| Mid-Ohio Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Marysville Emergency Physicians Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
Interoperability endpoints
- jsample@direct.excelahealth.org
Organizations & group practices 7
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.
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- Emergency Medicine Physician
- Greensburg, PA
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-
- General Acute Care Hospital
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- NPI 1336144732
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- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1013247568
-
- Emergency Medicine Physician
- Marysville, OH
- NPI 1649271594
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1255307435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FAIRVIEW RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152381706",
"telephone_number": "412-656-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 W PITTSBURGH ST",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012239",
"telephone_number": "724-832-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLE",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS013679",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.008207",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsample@direct.excelahealth.org",
"affiliation": "N",
"endpointDescription": "ExcelaHealth Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "532 W Pittsburgh St",
"city": "Greensburg",
"state": "PA",
"country_code": "US",
"postal_code": "156012239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.