Samuel W. Vallery, M.D., P.a.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

E0503 Issued in AR

Legal business name

SAMUEL W. VALLERY, M.D., P.A.

Practice address

1 Mercy LN
Suite 205
Hot Springs, AR 71913-6442

Phone

(501) 609-2300

Fax

(501) 609-2301

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Samuel W Vallery, MD

Title

Owner of Corporation

Phone

(501) 609-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1891960787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 205",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-609-2300",
            "fax_number": "501-609-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 205",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-609-2300",
            "fax_number": "501-609-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL W. VALLERY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "VALLERY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "501-609-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E0503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166792002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Otolaryngology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.