Samson Ballesteros MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SAMSON BALLESTEROS MD LLC

Practice address

33001 Solon Rd
112
Solon, OH 44139-2839

Phone

(440) 248-1297

Fax

(440) 349-7131

NPI assigned

Mar 27, 2008

Last updated

May 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samson Ballesteros, M.D.

Title

Owner

Phone

(440) 248-1297

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1518139849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33001 SOLON RD",
            "address_2": "112",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392839",
            "telephone_number": "440-248-1297",
            "fax_number": "440-349-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON BALLESTEROS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-248-1297",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Souheir Hassan Saker, MD
• Michael David Salkovitch, DDS
• Joel Marc Salon, DDS,MD
• Sam Adult Care LLC
• Javaria Sami
• Mirica Artine Sanders, D.O.
• Rochelle Alicia Sanders, LSW
• Steve Sanders, CDCA
• Bircan Savran
• Alexis Camille Scaparotti, M.D.

• Internal Medicine Physician in Solon, OH
• Providers in Solon, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.