Samuel K Roberts MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMUEL K ROBERTS MD PC

Practice address

1200 Harrison Ave
Ste 121
Elkins, WV 26241-3394

Phone

(304) 636-6131

Fax

(304) 637-5203

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Samuel Kump Roberts, MD

Title

Owner MD

Phone

(304) 636-6131

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Steven Baker, PAC

  • Physician Assistant
  • West Milford, WV
  • NPI 1003897497
  NPD (past)
• Nicholas Joel Baker, PA-C

  • Physician Assistant
  • Buckhannon, WV
  • NPI 1225177504
  NPD (past)
• Denise A. Leach, PA-C

  • Medical Physician Assistant
  • Mill Creek, WV
  • NPI 1235104589
  NPD (past)
• Regina Z Gum, PA-C

  • Medical Physician Assistant
  • Southport, NC
  • NPI 1427049121
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1457333403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HARRISON AVE",
            "address_2": "STE 121",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413394",
            "telephone_number": "304-636-6131",
            "fax_number": "304-637-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARRISON AVE",
            "address_2": "STE 121",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413394",
            "telephone_number": "304-636-6131",
            "fax_number": "304-637-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL K ROBERTS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KUMP",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "304-636-6131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055757000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Sacks
• Celeste Ann Sacra
• Andrea Saffell
• Esther Louise Sams
• Isaac S Sams
• Rebecca Sanders
• Barbara Ann Sandy-Cross
• Jessica Sandy
• Nityananda Santra, M.D.
• Kristen Sayre

• Family Medicine Physician in Elkins, WV
• Providers in Elkins, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.