Individual provider Active NPI

Amy Kathryn Straiko-Howerton, M. D.

  • Family Medicine Physician
  • Roseboro, NC
National Provider Identifier
1689623878
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-01480 Issued in NC
Practice address
304 W NC Highway 24
Roseboro, NC 28382-8684
Phone
(910) 525-5848
Fax
(910) 525-3838
NPI assigned
May 8, 2006
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.084339 OH
Family Medicine Physician 207Q00000X 2005-01480 NC Primary

Addresses

Primary practice location

304 W NC Highway 24
Roseboro, NC 28382-8684

Mailing address

304 W NC Highway 24
Roseboro, NC 28382-8684
Phone (910) 525-5848

Other identifiers 4

IdentifierTypeStateIssuer
2047595MedicaidNC
141R6OtherNCBLUE CROSS BS PIN
183913OtherNCMED COST PREFERRED PIN
141R6OtherNCNC BLUE CROSS BS PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@sampsonrps.e-mdsdirect.com Direct
Direct Messaging Address amy-Straiko-Howerton@HowertonFamilyMed.e-mdsdirect.com Direct Sampson Regional Professional Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000179 NC Practitioner - Family Practice 0547287195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

516 Beaman St
Clinton, NC 28328-2602
Phone (910) 590-0046

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.084339OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Professional Services LLC Family Medicine Current Accepting new patients
Sampson Regional Professional Services, LLC CurrentSince Jul 2, 2017 Accepting new patients

Locations

516 Beaman St
Clinton, NC 28328
Phone (910) 590-0046

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

304 W NC Highway 24
Roseboro, NC 28382
Phone (910) 525-5848

Interoperability endpoints

  • Direct secure messaging: amy-straiko-howerton@howertonfamilymed.e-mdsdirect.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1689623878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W NC HIGHWAY 24",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283828684",
            "telephone_number": "910-525-5848",
            "fax_number": "910-525-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W NC HIGHWAY 24",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283828684",
            "telephone_number": "910-525-5848",
            "fax_number": "910-525-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAIKO-HOWERTON",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.084339",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-01480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047595",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS PIN",
            "identifier": "141R6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED COST PREFERRED PIN",
            "identifier": "183913",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BS PIN",
            "identifier": "141R6",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sampsonrps.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "304 W Nc Highway 24",
            "city": "Roseboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283828684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy-Straiko-Howerton@HowertonFamilyMed.e-mdsdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Howerton Family Medicine",
            "affiliationName": "Sampson Regional Professional Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "304 W Nc Highway 24",
            "city": "Roseboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283828684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseboro, NC

Sources for this page

Verify at the official NPI Registry.