Individual provider Active NPI

Michael Dallas Sammer, MD

  • Internal Medicine Physician
  • Bella Vista, AR
National Provider Identifier
1659446201
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-6807 Issued in AR
Practice address
600 Memorial Drive
Bella Vista, AR 72714-1847
Phone
(479) 855-6165
Fax
(479) 855-2831
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-6807 AR Primary

Addresses

Primary practice location

600 Memorial Drive
Bella Vista, AR 72714-1847

Mailing address

600 Memorial Drive
Bella Vista, AR 72714-1847
Phone (479) 855-6165

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 Medicine

State licenses

LicenseStateTypeSpecialty
12550OKMDPharmacist
E-6807ARMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1659446201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DRIVE",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165",
            "fax_number": "479-855-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DRIVE",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165",
            "fax_number": "479-855-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMER",
        "first_name": "MICHAEL",
        "middle_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-6807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.