STACY SAMPSON (NPI# 1053519264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053519264 |
| Entity Type | Individual |
| Full Name | STACY SAMPSON |
| Credential | D.O. |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775-2029 |
| Mailing Address |
2618 W Colton Ozark MO 65721-8046 |
| Practice Telephone | 4172575800 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2010-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 3854 | IA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 2010003260 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598008468 | Stacy Sampson | Licensed Practical Nurse | 27600 Chardon Rd Apt 362, Willoughby Hills, OH 44092-2776 | 2013-03-29 |
| 1104190230 | Stacy Daniel Sampson | Counselor | 585 Research Dr, Suite B, Athens, GA 30605-2788 | 2012-03-07 |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881851 | Visionary Imaging LLC | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-06-16 |
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114965050 | Priscilla Anne Frase | Hospitalist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1720231483 | Holzum Healthcare LLC | Hospitalist | 2 Progress Point, Ste 101a, O Fallon, MO 63368-2208 | 2008-10-28 |
| 1164688552 | Landmark Hospital of Cape Girardeau, LLC | Hospitalist | 3255 Independence St, Cape Girardeau, MO 63701-4914 | 2008-08-05 |
| 1639235203 | Brian Craig Silverman | Hospitalist | 901 East 5th Street, St. John's Mercy Hospital, Washington, MO 63090 | 2006-12-28 |
| 1093826935 | Northland Hospitalsts LLC | Hospitalist | 3724 N Quincy Circle, Kansas City, MO 64119-0278 | 2006-08-31 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1699329086 | Stanley Wade Balch II | Hospitalist | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-24 |
| 1992362776 | Margaret Fonseca | Hospitalist | 224 S Woods Mill Rd Ste 580, Chesterfield, MO 63017-3513 | 2019-05-28 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.