Individual provider Active NPI

Samuel Winter

  • Adult Medicine Physician
  • Pahrump, NV
National Provider Identifier
1689739542
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
1267 Issued in NV
Practice address
1397 S Loop Rd
Pahrump, NV 89048
Phone
(775) 727-5500
Fax
(775) 727-5696
NPI assigned
Dec 22, 2006
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 1267 NV Primary

Addresses

Primary practice location

1397 S Loop Rd
Pahrump, NV 89048

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 216-3346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, WI, OK4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220104000333 GA Practitioner - Family Practice 0042497075 Reassigns benefits to 1 organization
I20231101001554 FL Practitioner - Family Practice 0042497075
I20231107000652 WI Practitioner - Family Practice 0042497075
I20231107000864 OK Practitioner - Family Practice 0042497075 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3920OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Oct 1, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients
Premise Health of Nevada Medical Hinitt P C Past Accepting new patients
Reno Sparks Indian Colony Past Accepting new patients
James W Forsythe Past Accepting new patients
Premise Health of Nevada Medical Hinitt PC Past Accepting new patients

Locations

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

7830 Veterans Pkwy
Ste H
Columbus, GA 31909
Phone (706) 320-8881

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

7633 E 63rd Pl
Ste 300
Tulsa, OK 74133
Phone (888) 637-9669

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1689739542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S LOOP RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-727-5500",
            "fax_number": "775-727-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.