Family Health Associates SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062094 Issued in IL

Legal business name

FAMILY HEALTH ASSOCIATES SC

Practice address

60 Regency PL
Millstadt, IL 62260-2210

Phone

(618) 476-3373

Fax

(618) 476-1890

NPI assigned

Feb 17, 2010

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Elaine Samson, MD

Title

Owner

Phone

(618) 476-3373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1932421047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REGENCY PL",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602210",
            "telephone_number": "618-476-3373",
            "fax_number": "618-476-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REGENCY PL",
            "city": "MILLSTADT",
            "state": "IL",
            "postal_code": "622602210",
            "telephone_number": "618-476-3373",
            "fax_number": "618-476-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-476-3373",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bwe & Tme Inc (Millstadt Pharmacy)
• Christen Dahm
• Rhonda Daniels
• Dean Healthcare LLC (schmidt chiropractic)
• Richard Erler
• Erin Lane Friedman, D.O.
• Jennifer Ann Hampsten, MAED, MSW, LCSW
• Jean M Hasenstab, PHD, LCSW
• Health Ventures of Southern Illinois LLC (Tri-Lab LLC)
• Deena Lynn Hinkle, PTA

• Family Medicine Physician in Millstadt, IL
• Providers in Millstadt, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.