Samuel P Pike MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMUEL P PIKE MD

Practice address

100 Helmwood Plaza Dr
Elizabethtown, KY 42701-2975

Phone

(270) 765-6242

Fax

(270) 765-6243

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Phillip Pike, MDNPI 1104832310

Title

Physician

Phone

(270) 765-6242

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Phillip Pike, MD

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1104832310
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1891833067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-765-6242",
            "fax_number": "270-765-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HELMWOOD PLAZA DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012975",
            "telephone_number": "270-765-6242",
            "fax_number": "270-765-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL P PIKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "270-765-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ERIN BRYANT ARNP NPI",
            "identifier": "1063462935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000047212",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104832310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Sallie
• Rebecca Salsbury, MSW
• Sam'S Club Optical
• Sam'S East Inc
• Varun Samji
• Amanda Samuels, APRN
• Alyssa Ann Sanders, COTA/L
• Jerri Sanders
• Halea Brooke Sandfer, APRN
• Samantha Marie Sansone, TCM

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.