Sam P Hargrove, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0001956 Issued in FL

Practice address

745 Orienta Ave
Ste.1191
Altamonte Springs, FL 32701-5619

Phone

(888) 551-3184

NPI assigned

Oct 7, 2005

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1831187459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE",
            "address_2": "SUITE 1191",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015619",
            "telephone_number": "407-329-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE",
            "address_2": "STE.1191",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015619",
            "telephone_number": "888-551-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "SAM",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0001956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics, Inc
• Marena Hanna
• Norman Hanna Jr., LMT
• Joanna Q Hannah, PA
• Anjali Alyssa Hardeo, DO
• Destiny Harper
• Billy Harrell
• Laurie Lenee Harrell, DMD
• Joyce Harris Lewis
• Harris Rehab Services, Inc.

• Medical Physician Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.