Samuel Tadiar Verzosa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18346 Issued in TN

Practice address

2851 Stage Center Dr
Bartlett, TN 38134-4679

Phone

(901) 388-7711

Fax

(901) 507-2280

NPI assigned

May 23, 2005

Last updated

Dec 10, 2009By the provider in NPPES

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

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: samuel.verzosa@vuim.eclinicaldirectplus.com
• Direct secure messaging: sverzosa33656@mlh.direct-ci.com

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.

• Verzosa Ungab Internal Medicine

  • Internal Medicine Physician
  • Bartlett, TN
  • NPI 1427007376
  Authorized official Same address or phone

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1730182882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 STAGE CENTER DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344679",
            "telephone_number": "901-388-7711",
            "fax_number": "901-507-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 STAGE CENTER DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344679",
            "telephone_number": "901-388-7711",
            "fax_number": "901-507-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZOSA",
        "first_name": "SAMUEL",
        "middle_name": "TADIAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Van Fossen
• Richard John Vansickle, DDS
• Vascular and Vein Institute of the South, PLLC
• Sarah Veazey, PHARM D
• Verzosa Ungab Internal Medicine
• Christopher Vickers
• Victorious Family Care Center
• Victory Transport LLC (Victory Transport)
• Vital Medical Transport
• Whitney Loren Vlastos

• Internal Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.