Robert Charles Samac, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-104293 Issued in AL

Practice address

4725 Mobile Hwy
Montgomery, AL 36108-5126

Phone

(334) 281-3665

NPI assigned

Oct 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family & Industrial Health Services, Inc.

  • Health Service Clinic/Center
  • Montgomery, AL
  • NPI 1710923198
  NPD

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1669772315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361085126",
            "telephone_number": "334-281-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361085126",
            "telephone_number": "334-281-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAC",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-104293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Saliba, MD
• William Saliski, CRNP
• William P. Saliski, D.O.
• Charles Greg Sallas, M.M.F.T.
• Sam's Club Optical (Sam's Club Optical 30-8106)
• Jyoti S Samant, MD
• Stephen W Samelson, M.D.
• Alisha Sample
• Richard Leslie Sample, MD
• Patrick Kyle Sampsell, ATC

• Primary Care Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.