Active NPI
Ruth Louise Sampson, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Missoula, MT
National Provider Identifier
1851476287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 4261
- Practice address
- 403 S 4TH St W
Missoula, MT 59801-2631 - Phone
- (406) 728-1985
- Fax
- (406) 728-2272
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4261 | MT | Primary |
Addresses
Primary practice location
403 S 4TH St W
Missoula, MT 59801-2631
Mailing address
403 S 4TH St W
Missoula, MT 59801-2631
Phone (406) 728-1985
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460000779 | Other | TRAVELERS' MEDICARE | |
| 000012730 | Other | MT | BLUECROSSBLUESHIELD |
| 0052351 | Medicaid | MT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4261 | MT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851476287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S 4TH ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598012631",
"telephone_number": "406-728-1985",
"fax_number": "406-728-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S 4TH ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598012631",
"telephone_number": "406-728-1985",
"fax_number": "406-728-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "RUTH",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MT",
"license": "4261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS' MEDICARE",
"identifier": "460000779",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "000012730",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052351",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.