Southampton Hospital Association

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

SOUTHAMPTON HOSPITAL ASSOCIATION

Practice address

240 Meeting House LN
Southampton, NY 11968-5009

Phone

(631) 726-8200

NPI assigned

Dec 19, 2006

Last updated

Nov 14, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHAMPTON HOSPITAL ASSOCIATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher J. Schultheis

Title

Chief Financial Officer

Phone

(631) 726-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospitalist Program Other name

Part of

Southampton Hosp-Ekg

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1851455661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685009",
            "telephone_number": "631-726-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHAMPTON HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHAMPTON HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-726-8300"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03373246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospitalist Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southampton Care Center
• Southampton Endodontics, P.C.
• Southampton Hospital
• Southampton Hospital
• Southampton Hospital Association
• Southampton Immediate Medical Care PC
• Southampton Medical PC
• Southampton Optiks LTD
• Southampton Physical Therapy PC
• Southampton Primacare Medical PC

• Hospitalist Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Hospitalist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.