Active NPI
Joseph Iresmick Sampeur VII
- Surgical Assistant
- Miami, FL
National Provider Identifier
1417640392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 22-317
- Practice address
- 1272 NW 119TH St
Miami, FL 33167-3232 - Phone
- (305) 685-5688
- Fax
- (888) 816-0924
- NPI assigned
- May 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 22-317 | WI | Primary |
Addresses
Primary practice location
1272 NW 119TH St
Miami, FL 33167-3232
Mailing address
824 SW 62ND Ave
North Lauderdale, FL 33068-2723
Phone (786) 735-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-317 | WI | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Point Medical Center | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1417640392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 SW 62ND AVE",
"city": "NORTH LAUDERDALE",
"state": "FL",
"postal_code": "330682723",
"telephone_number": "786-735-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 NW 119TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331673232",
"telephone_number": "305-685-5688",
"fax_number": "888-816-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPEUR",
"first_name": "JOSEPH",
"middle_name": "IRESMICK",
"name_suffix": "VII",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "22-317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.