Randall B Sam, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303144 Issued in NY

Practice address

520 Central Ave # VD
Dunkirk, NY 14048-2515

Phone

(716) 710-8266

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1487683769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CENTRAL AVE # VD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482515",
            "telephone_number": "716-710-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CENTRAL AVE # VD",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482515",
            "telephone_number": "716-710-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "RANDALL",
        "middle_name": "B",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S Wirojratana PC
• Eric Paul Sager, MD
• Ravi Jyot Singh Sahni, M.D.
• Joseph Chester Salva, D.C.
• Keilen Leigh-Ann Sam
• Gary Charles Sandeen, PHARMACIST
• Sarah M. Hall SLP, PC
• Heidi Sasso
• Juanita Sawyer
• Margaret Scherer, PA

• Adult Health Nurse Practitioner in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.