David E Samuel DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC003536L Issued in PA

Legal business name

DAVID E SAMUEL DPM

Doing business as

FOOT &ANKLE SPEC OF DEL CO

Practice address

196 West Sproul Road
Suite 107
Springfield, PA 19064

Phone

(610) 328-9122

Fax

(610) 328-6219

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Emanuael Samuel, DPM

Title

Owner

Phone

(610) 328-9122

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• FOOT &ANKLE SPEC OF DEL CO Doing business as

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1609066471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WEST SPROUL ROAD",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-328-9122",
            "fax_number": "610-328-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WEST SPROUL ROAD",
            "address_2": "SUITE 107",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-328-9122",
            "fax_number": "610-328-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E SAMUEL DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EMANUAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-328-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003536L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE GROUP",
            "identifier": "2317760000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "53913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JEFFREY D.LEHRMANMEDICARE",
            "identifier": "036474",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA FREEDOM",
            "identifier": "207731",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30026957",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "2317760000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007605920006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "1643217",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADM GROUP",
            "identifier": "2317760000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT &ANKLE SPEC OF DEL CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Springfield, PA
• Providers in Springfield, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.