NPIMap

Organization Active NPI

Samir B.G. Boutros, M.D.P.C.

  • Specialist
  • South Hill, VA
National Provider Identifier
1982816633
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101032398 Issued in VA
Legal business name
SAMIR B.G. BOUTROS, M.D.P.C.
Practice address
420 Durant St
South Hill, VA 23970-1614
Phone
(434) 447-3315
Fax
(434) 447-2540
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Samir B Boutors, M.D.
Title
President
Phone
(434) 447-3315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101032398 VA Primary

Addresses

Primary practice location

420 Durant St
South Hill, VA 23970-1614

Mailing address

PO Box 25
South Hill, VA 23970-0025
Phone (434) 447-3315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1982816633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700025",
            "telephone_number": "434-447-3315",
            "fax_number": "434-447-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DURANT ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701614",
            "telephone_number": "434-447-3315",
            "fax_number": "434-447-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR B.G. BOUTROS, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "BOUTORS",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-447-3315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101032398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.