NPIMap

Individual provider Active NPI

Samantha Nichole Kiefer, D.O.

  • Family Medicine Physician
  • Conneaut, OH
National Provider Identifier
1295114387
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013424 Issued in OH
Practice address
167 W Main Rd Ste F
Conneaut, OH 44030-2057
Phone
(440) 599-7466
Fax
(440) 593-6498
NPI assigned
May 22, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.013424 OH Primary

Addresses

Primary practice location

167 W Main Rd Ste F
Conneaut, OH 44030-2057

Mailing address

167 W Main Rd Ste F
Conneaut, OH 44030-2057
Phone (440) 599-7466

Other identifiers 1

IdentifierTypeStateIssuer
34.013424OtherOHOH MEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address samantha.kiefer@uhhospitals.org Direct
Direct Messaging Address samanthakieferi@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626003616 OH Practitioner - Family Practice 6204100936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

167 W Main Rd F
Conneaut, OH 44030-2057
Phone (216) 383-0100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2018 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

167 W Main Rd
Ste F
Conneaut, OH 44030
Phone (440) 599-7466

Interoperability endpoints

  • Direct secure messaging: samantha.kiefer@uhhospitals.org
  • Direct secure messaging: samanthakieferi@uhps.allscriptsdirect.net
  • Direct secure messaging: skiefer37419@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295114387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W MAIN RD STE F",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-599-7466",
            "fax_number": "440-593-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W MAIN RD STE F",
            "city": "CONNEAUT",
            "state": "OH",
            "postal_code": "440302057",
            "telephone_number": "440-599-7466",
            "fax_number": "440-593-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAL LICENSE",
            "identifier": "34.013424",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.kiefer@uhhospitals.org",
            "affiliation": "N",
            "endpointDescription": "employee email, secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "167 W Main Rd Ste F",
            "city": "Conneaut",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440302057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthakieferi@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "167 W Main Rd Ste F",
            "city": "Conneaut",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440302057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conneaut, OH

Sources for this page

Verify at the official NPI Registry.