Active NPI
Samantha Marie Maplethorpe, M.D.
- Family Medicine Physician
- Issaquah, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00041639
- Practice address
- 390 E Sunset Way
Issaquah, WA 98027-3441 - Phone
- (425) 369-1342
- Fax
- (425) 395-0245
- NPI assigned
- Jul 26, 2006
- Last updated
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53948 | AZ | |
| Family Medicine Physician | 207Q00000X | MD00041639 | WA | Primary |
Addresses
Primary practice location
390 E Sunset Way
Issaquah, WA 98027-3441
Mailing address
2623 W Pumpkin Ridge Dr
Anthem, AZ 85086-3027
Phone (623) 232-0082
Other practice location 1
3719 W Anthem Way Ste 200
Anthem, AZ 85086-0469
Phone (425) 369-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Tulane University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
390 E Sunset
Issaquah, WA 98029
Phone (425) 369-1342
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041639 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Family Physicians PLLC | Current | Accepting new patients |
Locations
3719 W Anthem Way
Ste 102
Anthem, AZ 85086
Phone (623) 232-0082
3719 W Anthem Way
Ste 200
Anthem, AZ 85086
Phone (425) 369-1342
3707 Providence Dr SE
Ste G
Issaquah, WA 98029
Phone (425) 369-1342
3707 Providence Point Dr SE
Ste G
Issaquah, WA 98029
Phone (425) 278-2250
390 E Sunset Way
Issaquah, WA 98027
Phone (425) 278-2250
3020 Issaquah Pine Lake Rd SE
Sammamish, WA 98075
Phone (206) 494-4696
Interoperability endpoints
- https://api.platform.athenahealth.com/1293/brand/3/csg/42/fhir/r4
- samantha.maplethorpe@115246094811140.direct.elationemr.com
- samantha.maplethorpe@337577483108356.direct.elationemr.com
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Issaquah, WA
- NPI 1891902458
-
dba BestLife Family Medicine
- Primary Care Clinic/Center
- Anthem, AZ
- NPI 1730712100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1396768412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 W PUMPKIN RIDGE DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850863027",
"telephone_number": "623-232-0082",
"fax_number": "623-440-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E SUNSET WAY",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980273441",
"telephone_number": "425-369-1342",
"fax_number": "425-395-0245"
}
],
"practiceLocations": [
{
"address_1": "3719 W Anthem Way Ste 200",
"address_purpose": "LOCATION",
"city": "Anthem",
"state": "AZ",
"postal_code": "850860469",
"country_code": "US",
"telephone_number": "425-369-1342",
"fax_number": "623-440-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAPLETHORPE",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "53948",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00041639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.