Samuel R Neeley MD PA

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

E8757 Issued in TX

Legal business name

SAMUEL R NEELEY MD PA

Practice address

12446 West Ave
Suite 200
San Antonio, TX 78216-2517

Phone

(210) 525-1668

Fax

(210) 525-1669

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Robert Neeley, MD

Title

Physician

Phone

(210) 525-1668

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel J Pierce, MD

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1881700581
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1649391632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700447",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700447",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R NEELEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-525-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "E8757",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E8757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0015PZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "004203225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120344004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet O Samson, NP
• Stephanie Samson
• Elya Samudia
• Joe Daniel Samudio, RN
• Samuel Escarsega DDS PLLC Dba Highland Hills Dental Center
• Renny Samuel-Worsham, M.S.,R.D.,L.D.
• Linu Varughese Samuel, M.D.
• Samuels Valley Professional Services, LLC (Pediatrics Plus Clinic)
• Joan Margery Samuels, RN
• Laura Samuelsen

• Hospitalist Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.