Individual provider Active NPI

Harald Jorge Sampson, CRNA

  • Certified Registered Nurse Anesthetist
  • Diamondhead, MS
National Provider Identifier
1851674097
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R868903 Issued in MS
Practice address
6952 Apuwai PL
Diamondhead, MS 39525-3513
Phone
(228) 493-2490
NPI assigned
Sep 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R868903 MS Primary

Addresses

Primary practice location

6952 Apuwai PL
Diamondhead, MS 39525-3513

Mailing address

6952 Apuwai PL
Diamondhead, MS 39525-3513
Phone (228) 493-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814000556 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789856659 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Pax Healthcare AssociatesGroup PAC ID 5193228880, 17 clinicians

Practice addresses (Care Compare)

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4905 Rockrimmon CT
Colleyville, TX 76034-3548
Phone (214) 385-0865

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Oba PLLC CurrentSince Apr 27, 2022 Accepting new patients
Spine Team Texas PA CurrentSince Jul 1, 2019 Accepting new patients
Pax Healthcare Associates CurrentSince Jul 12, 2025 Accepting new patients
Lewis 360 Medical Solutions PLLC CurrentSince Jul 15, 2017 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Feb 22, 2018 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Mar 8, 2018 Accepting new patients
Synergy Anesthesia Management CurrentSince Jun 10, 2021 Accepting new patients
Spine Team Texas, PA CurrentSince Jul 1, 2019 Accepting new patients
Anesthesiology Consultants of North Texas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Aug 1, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Aug 1, 2017 Accepting new patients

Locations

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225

750 13th Ave
Ft Worth, TX 76104
Phone (817) 334-5050

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

2709 Hospital Blvd
Grand Prairie, TX 75051
Phone (469) 999-0000

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082
Phone (469) 998-7443

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1851674097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6952 APUWAI PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253513",
            "telephone_number": "228-493-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6952 APUWAI PL",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253513",
            "telephone_number": "228-493-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "HARALD",
        "middle_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R868903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.