Active NPI
Lizbeth Sam, MD
- Neurological Surgery Physician
- Wesley Chapel, FL
National Provider Identifier
1700191046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101260376
- Practice address
- 2590 Healing Way Ste 310
Wesley Chapel, FL 33543-5497 - Phone
- (813) 333-1186
- Fax
- (844) 691-5928
- NPI assigned
- Aug 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101260376 | VA | Primary |
Addresses
Primary practice location
2590 Healing Way Ste 310
Wesley Chapel, FL 33543-5497
Mailing address
2590 Healing Way Ste 310
Wesley Chapel, FL 33543-5497
Phone (703) 795-8262
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101260376 | VA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1700191046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2590 HEALING WAY STE 310",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435497",
"telephone_number": "703-795-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2590 HEALING WAY STE 310",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435497",
"telephone_number": "813-333-1186",
"fax_number": "844-691-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "LIZBETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-11",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101260376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.