Samantha C Moery DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4317 Issued in OK

Legal business name

SAMANTHA C MOERY DO PC

Practice address

3201 N Van Buren St
400
Enid, OK 73703-1800

Phone

(580) 237-1877

Fax

(580) 237-2872

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samantha C Moery, D.O.

Title

President

Phone

(580) 237-1877

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285852368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN ST",
            "address_2": "400",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031800",
            "telephone_number": "580-237-1877",
            "fax_number": "580-237-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N VAN BUREN ST",
            "address_2": "400",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031800",
            "telephone_number": "580-237-1877",
            "fax_number": "580-237-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA C MOERY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MOERY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-237-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "4317",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00442024",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamanda Rutz
• Kevin M Ryan
• Saints Medical Group
• Saints Neurology of Enid
• Cheyann Sales
• Carrie D Sanders, RD, LD
• Sarah K. Miller, PLLC
• Fielding C Sauls, MD
• Clare Michelle Savage, MD
• Patrick Sawyer, DC

• Family Medicine Physician in Enid, OK
• Providers in Enid, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.