Organization Active NPI

Frederick K. Samsel, M.D., P.a.

  • Internal Medicine Physician
  • Milford, DE
National Provider Identifier
1942546148
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10002610 Issued in DE
Legal business name
FREDERICK K. SAMSEL, M.D., P.A.
Practice address
100 Kings Hwy
Milford, DE 19963-1812
Phone
(302) 422-4666
Fax
(302) 422-6064
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Kay Strader
Title
Office Manager
Phone
(302) 422-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C10002610 DE Primary

Addresses

Primary practice location

100 Kings Hwy
Milford, DE 19963-1812

Mailing address

100 Kings Hwy
Milford, DE 19963-1812
Phone (302) 422-4666

Other identifiers 5

IdentifierTypeStateIssuer
159779OtherDEMEDICARE
0000175502MedicaidDE
0000020401MedicaidDE
276473OtherDEGROUP PTAN
08D0206762OtherDECLIA WAIVER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1942546148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631812",
            "telephone_number": "302-422-4666",
            "fax_number": "302-422-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631812",
            "telephone_number": "302-422-4666",
            "fax_number": "302-422-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK K. SAMSEL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-422-4666"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10002610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "159779",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000175502",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000020401",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "276473",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "08D0206762",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.