Active NPI
Edwin Ashton Sammer, M.D.
- Pulmonary Disease Physician
- Lakeland, FL
National Provider Identifier
1982864187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME73243
- Practice address
- 1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543 - Phone
- (863) 284-1177
- Fax
- (863) 284-1730
- NPI assigned
- Jun 11, 2008
- Last updated
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME73243 | FL | Primary |
Addresses
Primary practice location
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 284-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0073243 | Other | FL | STATE LICENCE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73243 | FL | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1982864187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-284-1177",
"fax_number": "863-284-1730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-284-1177",
"fax_number": "863-284-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMER",
"first_name": "EDWIN",
"middle_name": "ASHTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME73243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "ME0073243",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
- Sam's Club Optical
- Sam's Club Optical (Sam's Club Optical 30-6441)
- Jay K Samak, PA-C
- Srinivas P Samak, MD
- Yvette Samara, AUD
- Sams East Inc (Sams Pharmacy 10-6441)
- Sams East Inc (Sams Pharmacy 10-4794)
- Franeisy Sanabria Arteaga, RBT
- Sanative Medical Group PLLC (Hospitalists of Haines City)
- Carlos Manuel Sanchez Rivera, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.