Active NPI
Frederick K. Samsel, M.D., P.a.
- Internal Medicine Physician
- Milford, DE
National Provider Identifier
1942546148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C10002610
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159779 | Other | DE | MEDICARE |
| 0000175502 | Medicaid | DE | |
| 0000020401 | Medicaid | DE | |
| 276473 | Other | DE | GROUP PTAN |
| 08D0206762 | Other | DE | CLIA WAIVER |
National Provider Directory
National Provider DirectoryNPI 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.