Samson S Velena, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101041836 Issued in VA

Practice address

141 Ben Bolt Ave
Tazewell, VA 24651-9700

Phone

(276) 988-8700

NPI assigned

May 16, 2006

Last updated

Feb 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: svelena21193@direct.carilionclinic.org

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1508818956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8740",
            "fax_number": "273-988-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246519700",
            "telephone_number": "276-988-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELENA",
        "first_name": "SAMSON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101041836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Michelle Tickle
• Valeria Tipton
• Town of Tazewell
• Hunter Ashley Turner, DMD
• David Vance, PHARMD.
• Virginia Department of Health (Tazewell County Health Department)
• W. Eric Shrader MD PC
• William Edward Wear, M.D.
• Leigh Shannon Wess, MA CCC-SLP
• Crystal Gay White, LMT

• Family Medicine Physician in Tazewell, VA
• Providers in Tazewell, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.