Active NPI
Joel L Samitt, DO
- Family Medicine Physician
- Leola, PA
National Provider Identifier
1588694160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS002216L
- Practice address
- 377 W Main St
Suite100
Leola, PA 17540-1760 - Phone
- (717) 656-6122
- Fax
- (717) 656-0142
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS002216L | PA | Primary |
Addresses
Primary practice location
377 W Main St
Suite100
Leola, PA 17540-1760
Mailing address
PO Box 398
Brownstown, PA 17508-0398
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041591 | Other | KEYSTONE | |
| 0006082170005 | Medicaid | PA | |
| 4597687 | Other | AETNA | |
| P002411 | Other | GATEWAY | |
| 000041591 | Other | BLUE SHIELD | |
| 50051237 | Other | BLUE CROSS | |
| P00257504 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002216L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Lancaster County Medical Group | Family Medicine | Past | Accepting new patients |
| Ephrata Community Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital Unit
- Ephrata, PA
- NPI 1215452354
-
- Family Medicine Physician
- Christiana, PA
- NPI 1780016253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1588694160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "BROWNSTOWN",
"state": "PA",
"postal_code": "175080398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 W MAIN ST",
"address_2": "SUITE100",
"city": "LEOLA",
"state": "PA",
"postal_code": "175401760",
"telephone_number": "717-656-6122",
"fax_number": "717-656-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMITT",
"first_name": "JOEL",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS002216L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0041591",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006082170005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4597687",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P002411",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000041591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "50051237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00257504",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.