Howard Russell Sampley Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD23718 Issued in OR

Practice address

3333 Riverbend Dr
Behavioral Services
Springfield, OR 97477-8800

Phone

(541) 222-2185

NPI assigned

Mar 7, 2006

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: rsampley3063@direct.peacehealth.org

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1902873011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RIVERBEND DR",
            "address_2": "BEHAVIORAL SERVICES",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974778800",
            "telephone_number": "541-222-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLEY",
        "first_name": "HOWARD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD23718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287031",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J Salisbury, MD
• Katie Nicole Salle
• Joshua Ethan Salter, MD
• Tanmay Vinayak Samant, MD
• Adrienne Michelle Samar, M.D.
• Anahita Sanaie, M.D.
• James David Sanchez, MD
• Marissa Maryann Sanchez
• Mary Jo Sanders, RN, LCSW
• Alberto Sandoval

• Psychiatry Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.