Sharon Leslie Samson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2004024905 Issued in MO

Practice address

50 Centre on the Lake
Lake St Louis, MO 63367-2938

Phone

(636) 625-4448

Fax

(636) 625-4449

NPI assigned

May 13, 2006

Sex

Female

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 2

Other names 1

• Ms. Sharon Leslie Ross Horsfall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1508817602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CENTRE ON THE LAKE",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "63367",
            "telephone_number": "636-625-4448",
            "fax_number": "636-625-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CENTRE ON THE LAKE",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672938",
            "telephone_number": "636-625-4448",
            "fax_number": "636-625-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "SHARON",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004024905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "25141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "192065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "HORSFALL",
            "middle_name": "LESLIE ROSS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrell Rucker
• Christine Louise Rufkahr, PT
• S and M Baig MD PC
• Jayadev Sajja, MD
• Emily L Sammons, MD
• Mayerli Sanchez Perez
• Zachary J Sander, LPC
• Madison Santo
• Dona Renee Schaefer, MA, LPC, PHD
• Stanton Ross Schiller, MD

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.