Active NPI
Samuel Anthony Namey, DO
- Emergency Medicine Physician
- Conneaut, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34004038
- Practice address
- 158 West Main Street
Conneaut, OH 44030 - Phone
- (440) 593-1131
- Fax
- (330) 656-5901
- NPI assigned
- Apr 10, 2006
- Last updated
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34004038 | OH | Primary |
Addresses
Primary practice location
158 West Main Street
Conneaut, OH 44030
Mailing address
5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-9304
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0778225 | Medicaid | OH | |
| 000000269066 | Other | OH | ANTHEM |
| N368734 | Other | OH | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004038 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Conneaut Medical Center | Current | Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current | Accepting new patients | |
| OB-GYN Associates of Erie, PC | Current | Accepting new patients | |
| University Hospitals Conneaut Medical Center | Current | Accepting new patients | |
| Ues Geauga, LLC | Emergency Medicine | Current | Accepting new patients |
| BMH Professional Corporation | Past | Accepting new patients | |
| Brown Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
Locations
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777
100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851
2861 W 26th St
Ste 1
Erie, PA 16506
Phone (814) 480-7760
Interoperability endpoints
- samuel.namey.1@27404.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Chardon, OH
- NPI 1841242997
-
- Nurse Practitioner
- Conneaut, OH
- NPI 1831545177
-
dba Doylestown Women's Health Center
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1497702294
-
- Medicare Defined Swing Bed Hospital Unit
- Conneaut, OH
- NPI 1154408250
-
dba UH Conneaut Urgert Care
- Urgent Care Clinic/Center
- Conneaut, OH
- NPI 1194109132
-
- Internal Medicine Physician
- Conneaut, OH
- NPI 1447229372
-
- Emergency Medicine Physician
- Conneaut, OH
- NPI 1447330519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1376506410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 DARROW RD",
"address_2": "SUITE 106",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365021",
"telephone_number": "330-656-9304",
"fax_number": "330-656-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 WEST MAIN STREET",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "44030",
"telephone_number": "440-593-1131",
"fax_number": "330-656-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMEY",
"first_name": "SAMUEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34004038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0778225",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000269066",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N368734",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.