Angelito L Samson in Shelbyville - Adolescent Medicine
Angelito L Samson - NPI 1871694174
Angelito L Samson is a Adolescent Medicine in Shelbyville, Kentucky. Angelito L Samson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Angelito L Samson is 1871694174. The last update date is 2022-09-21.
Angelito L Samson's current location address is 150 Frankfort Rd Ste 101, Shelbyville, Kentucky. You can contact this provider via phone number 5026475468 and fax number 5026477134. The mailing address for Angelito L Samson is 150 Frankfort Rd Ste 101, Shelbyville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelito L Samson |
|---|---|
| Address | 150 Frankfort Rd Ste 101, Shelbyville, Kentucky |
| Phone Number | 5026475468 |
| Fax Number | 5026477134 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871694174 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2022-09-21 |
Provider Mailing Address Detail
| Address | 150 Frankfort Rd Ste 101 |
|---|---|
| City | Shelbyville |
| State | Kentucky (KY) |
| Post Code | 400657401 |
| Phone Number | 5026475468 |
| Fax Number | 5026477134 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 29789 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K140311 | KY | MEDICARE | |
| 300056797 | IN | -- | |
| 64297898 | KY | -- |
Post Comment/ Review Below
What is the Angelito L Samson's 1871694174?
The Angelito L Samson's NPI (National Provider Identifier) Number is 1871694174. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Angelito L Samson?
The Angelito L Samson is situated at 150 Frankfort Rd Ste 101, in the city of Shelbyville, state of KY, with the zip code 400657401.
What is the area of specialization for Angelito L Samson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Angelito L Samson is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Angelito L Samson receive the assignment of its 1871694174 from the Centers for Medicare & Medicaid Services?
The Angelito L Samson was issued its 1871694174 by the Centers for Medicare & Medicaid Services on 2006-09-26.
As of what date were the details pertaining to Angelito L Samson last refreshed?
The information related to the Angelito L Samson, including its address, specialty, and other relevant details, was last updated on 2022-09-21.
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