Adam Troy Sams II, CST/CSFA, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00751 Issued in TX

Practice address

5513 Ventura St
Fort Worth, TX 76244-6289

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Jul 29, 2015

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1750766986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 VENTURA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446289",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 VENTURA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446289",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "ADAM",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CST/CSFA, LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navin Sampathkumar
• James K. Sampognaro, CRNA
• Inemesit I. Sampson, NP
• Sams East Inc (Sams Pharmacy)
• Sams East Inc (Sams Pharmacy)
• Amanda K Sams, CRNA
• Robert M Samsel, L.P.C.
• Jhoanns Jose Aranez Samson, PT, DPT
• Bincy Samuel, NP-C
• Jennifer Samuel, LPC

• Surgical Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.