Samuel Deutsch MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036133 Issued in GA

Legal business name

SAMUEL DEUTSCH MD PC

Practice address

316 W Pike St Ste 100
Lawrenceville, GA 30045-4878

Phone

(770) 682-8442

Fax

(770) 682-8200

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Deutsch, MDNPI 1538262167

Title

Owner

Phone

(770) 682-8442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Deutsch, MD

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1538262167
  Authorized official Same address or phone

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1376704106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W PIKE ST STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454878",
            "telephone_number": "770-682-8442",
            "fax_number": "770-682-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W PIKE ST STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454878",
            "telephone_number": "770-682-8442",
            "fax_number": "770-682-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL DEUTSCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-682-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "036133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000554144A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Samardak
• Nsansa Sambo
• Afua Ataa Sampson, PMHNP
• Terri Peterson Sampson, LPC
• Samuel Bridge Solutions Inc
• Ajely Samuel
• Charlene Samuels
• Theresa Elizabeth Samuels, LCSW
• Winston L Samuels, MD
• Lorin M Sanchez, MD

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.