Individual provider Active NPI

Jeffrey S Sams, MD

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1952311235
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35055543 Issued in OH
Practice address
150 Taylor Station Rd
Ste 290
Columbus, OH 43213-4440
Phone
(614) 755-9280
Fax
(614) 755-9295
NPI assigned
Aug 9, 2006
Reactivated
Dec 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35055543 OH Primary

Addresses

Primary practice location

150 Taylor Station Rd
Ste 290
Columbus, OH 43213-4440

Mailing address

150 Taylor Station Rd
Ste 290
Columbus, OH 43213-4440
Phone (614) 755-9280

Other identifiers 1

IdentifierTypeStateIssuer
0673589MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsams@jeffreysamsmd.amazing-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055543OHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1952311235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD",
            "address_2": "STE 290",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134440",
            "telephone_number": "614-755-9280",
            "fax_number": "614-755-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TAYLOR STATION RD",
            "address_2": "STE 290",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134440",
            "telephone_number": "614-755-9280",
            "fax_number": "614-755-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "deactivation_date": "2022-07-28",
        "reactivation_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35055543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673589",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsams@jeffreysamsmd.amazing-direct.com",
            "affiliation": "N",
            "endpointDescription": "Amazing Charts EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Taylor Station Rd",
            "address_2": "Ste 290",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432134440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.