Active NPI
Samy F Sakla, M.D.
- Interventional Pain Medicine Physician
- Wheeling, WV
National Provider Identifier
1477547958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 15920
- Practice address
- 2000 Eoff St
5TH Floor, East Building
Wheeling, WV 26003-3823 - Phone
- (304) 234-8161
- Fax
- (304) 234-8171
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 15920 | WV | Primary |
Addresses
Primary practice location
2000 Eoff St
5TH Floor, East Building
Wheeling, WV 26003-3823
Mailing address
2000 Eoff St
5TH Floor, East Building
Wheeling, WV 26003-3823
Phone (304) 234-8161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058784000 | Medicaid | WV | |
| 0783531 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1477547958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"address_2": "5TH FLOOR, EAST BUILDING",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8161",
"fax_number": "304-234-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"address_2": "5TH FLOOR, EAST BUILDING",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033823",
"telephone_number": "304-234-8161",
"fax_number": "304-234-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKLA",
"first_name": "SAMY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WV",
"license": "15920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058784000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0783531",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.