Active NPI
Carol Ann Samson, V.M.D.
- Veterinarian
- Phoenix, AZ
National Provider Identifier
1619300985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 1145
- Practice address
- 520 W Union Hills Dr
Suite #105
Phoenix, AZ 85027-5633 - Phone
- (623) 849-0700
- Fax
- (623) 516-0035
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 1145 | AZ | Primary |
Addresses
Primary practice location
520 W Union Hills Dr
Suite #105
Phoenix, AZ 85027-5633
Mailing address
520 W Union Hills Dr
Suite #105
Phoenix, AZ 85027-5633
Phone (623) 849-0700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376006400000",
"number": "1619300985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W UNION HILLS DR",
"address_2": "SUITE #105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275633",
"telephone_number": "623-849-0700",
"fax_number": "623-516-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W UNION HILLS DR",
"address_2": "SUITE #105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275633",
"telephone_number": "623-849-0700",
"fax_number": "623-516-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "V.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2013-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "AZ",
"license": "1145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.