Active NPI
Timothy William Sampley
- Perfusionist
- Oklahoma City, OK
National Provider Identifier
1770800286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- LP83
- Practice address
- 3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641 - Phone
- (405) 604-5613
- Fax
- (405) 601-3750
- NPI assigned
- Apr 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | LP83 | OK | Primary |
Addresses
Primary practice location
3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641
Mailing address
3601 N May Ave
Suite C
Oklahoma City, OK 73112-6641
Phone (405) 604-5613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP83 | OK | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271980800000",
"number": "1770800286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 N MAY AVE",
"address_2": "SUITE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731126641",
"telephone_number": "405-604-5613",
"fax_number": "405-601-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 N MAY AVE",
"address_2": "SUITE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731126641",
"telephone_number": "405-604-5613",
"fax_number": "405-601-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLEY",
"first_name": "TIMOTHY",
"middle_name": "WILLIAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "OK",
"license": "LP83",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.