Robert a Sampson DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ROBERT A SAMPSON DPM LLC

Doing business as

Gateway Podiatry

Practice address

5050 NE Hoyt St
Ste 418
Portland, OR 97213-2991

Phone

(503) 408-1102

Fax

(503) 408-1155

NPI assigned

Apr 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Phillips, CPC

Title

Billing Manager

Phone

(360) 667-3047

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gateway Podiatry Doing business as

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1396702791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820030",
            "telephone_number": "866-622-2455",
            "fax_number": "360-666-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "STE 418",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-408-1102",
            "fax_number": "503-408-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A SAMPSON DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-667-3047",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "023834000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Roberson, M.D.
• Porsha Roberson
• Savannah Mayfield Roberson, LMT
• Ty Roberson
• Carrie Robersone
• Robert a. Leon, D.M.D., P.C.
• Robert D Dyson MD PC (Gateway Women's Clinic)
• Robert J Williams LLC
• Robert Olsen MD LLC (Best Mind)
• Robert Thompson DMD,PC & Assoc. (East Portland TenderCare)

• Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.