Individual provider Active NPI

Samuel M. Hopkins, M.D.

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1336137975
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME32777 Issued in FL
Practice address
136 Parliament Loop
Suite 102
Lake Mary, FL 32746-3531
Phone
(407) 333-0160
Fax
(407) 333-0108
NPI assigned
Oct 7, 2005
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 ME32777 FL Primary

Addresses

Primary practice location

136 Parliament Loop
Suite 102
Lake Mary, FL 32746-3531

Mailing address

PO Box 915389
Longwood, FL 32791-5389
Phone (407) 875-8784

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000033 FL Practitioner - Emergency MedicinePractitioner - Family Practice 4981507753 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Mar 15, 2011 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Sep 15, 2009 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 15, 2011 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 15, 2011 Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients
Bethesda/Solantic Joint Venture, LLC PastSince Jul 2, 2009 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Past Accepting new patients
Lake Mary Walk-in Medical Center PastSince Jun 30, 2003 Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

8711 Perimeter Park Blvd
Ste 6
Jacksonville, FL 32216
Phone (904) 223-2320

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1336137975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915389",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327915389",
            "telephone_number": "407-875-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PARLIAMENT LOOP",
            "address_2": "SUITE 102",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463531",
            "telephone_number": "407-333-0160",
            "fax_number": "407-333-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "SAMUEL",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME32777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.