Michel C. Samson, M.D., F.a.C.S., PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME79062 Issued in FL

Legal business name

MICHEL C. SAMSON, M.D., F.A.C.S., PLLC

Practice address

3635 S Clyde Morris Blvd
Suite 400
Port Orange, FL 32129-2300

Phone

(386) 756-9400

Fax

(386) 756-4338

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Susan M Murphy

Title

Office Manager

Phone

(386) 756-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1f7b6536-c76b-4398-ab49-8978aae098e4/

Practitioners 1

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

• Michel C Samson, M.D.

  • Plastic Surgery Physician
  • Port Orange, FL
  • NPI 1033179627
  Medicare reassignment NPD

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1487050365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 400",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-756-9400",
            "fax_number": "386-756-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 400",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-756-9400",
            "fax_number": "386-756-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL C. SAMSON, M.D., F.A.C.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-756-9400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME79062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dowler Meyers, ARNP
• MHC III
• Miami Podiatry LLC
• Albert M Michael, M.D.
• Kyle John Michalski, DPT
• Meghan Mielke
• Cayla Milford, PA-C
• Adrianne T Miller, LMT
• Cassandra Miller
• Corin M Miller, CCC-SLP

• Plastic Surgery Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.