Individual provider Active NPI

Samantha Marie Maplethorpe, M.D.

  • Family Medicine Physician
  • Issaquah, WA
National Provider Identifier
1396768412
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00041639 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001290 WA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5496743809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
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

LicenseStateTypeSpecialty
MD00041639WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Family Physicians PLLC CurrentSince Feb 24, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/1293/brand/3/csg/42/fhir/r4
  • Direct secure messaging: samantha.maplethorpe@115246094811140.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.