Sam P Hulett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600

Phone

(614) 923-0300

Fax

(614) 923-0400

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Oberlander and Associates Internal Medicine Inc

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1649290172
  Medicare reassignment
• Ohiohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1811207160
  Medicare reassignment

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1326129123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0300",
            "fax_number": "614-923-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0300",
            "fax_number": "614-923-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "SAM",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151543",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keisha Hughes
• Rachel M Hughes, PHARM D
• Ryan Hughes
• Debra Hugley
• Sarah Marie Huhra, PA-C
• Kiley Hulion
• Abigail Hulsman
• Terene Humphries
• Cecilia Hunt
• Holly Melissa Hunt, PMHNP B-C

• Physician Assistant in Dublin, OH
• Providers in Dublin, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.