Samuel Lugo M.D., F.a.C.S.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

28888 Issued in MO

Legal business name

SAMUEL LUGO M.D., F.A.C.S.

Practice address

5213 Hampton Ave
Saint Louis, MO 63109-3170

Phone

(314) 646-0478

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lugo, M.D.

Title

President

Phone

(314) 646-0478

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1609961168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093170",
            "telephone_number": "314-646-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 HAMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093170",
            "telephone_number": "314-646-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL LUGO M.D., F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-646-0478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "28888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Parker Samson, MD
• Niki Samtani, MSW
• Ramulu Samudrala, P.C
• Siresha Kiran Samudrala, M.D.
• Suseela Samudrala, M.D.
• Chardial Samuel, LCSW
• Mary Catherine Samuel, MA, CCC-SLP
• Amanda Samuels, LPC
• Erin K. Samuels, M.D.
• Whitney Samuels

• Vascular Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.