SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC (NPI# 1265828990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265828990 |
| Entity Type | Organization |
| Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC |
| Practice Address |
607 Beaman St Clinton NC 28328-2603 |
| Practice Telephone | 9105928511 |
| Practice Fax Number | 9105965430 |
| Mailing Telephone | 9105928511 |
| Mailing Fax Number | 9105965430 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-10 |
| Authorized Official Name | DR. GERALD HEINZMAN (DIRECTOR) |
| Authorized Official Telephone | 9105908755 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760744361 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman Street, Clinton, NC 28328-2603 | 2012-06-11 |
| 1285048306 | Sampson Regional Professional Services, LLC | Orthopaedic Surgery | 607 Beaman St, Clinton, NC 28328-2603 | 2014-06-17 |
| 1205259298 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman St, Clinton, NC 28328-2603 | 2014-01-27 |
| Street Address |
607 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886611 | Michele Therese Lewis | Nurse Anesthetist, Certified Registered | 607 Beaman St, Anesthesia Department, Clinton, NC 28328-2603 | 2005-07-21 |
| 1881214773 | Nicholas Royster | Family Medicine | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-21 |
| 1679192082 | Henry Nathaniel Curry | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-15 |
| 1073132338 | Yasmin Hadian | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-15 |
| 1194344994 | Abigail Leigh Hunter | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-11 |
| 1225657208 | Mason Zachary Day | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-10 |
| 1942829882 | Jarett Casale | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-10 |
| 1255950465 | Jordan Edward Wong | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-09 |
| 1588283527 | Rishikumar Gopinath | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-09 |
| 1538620232 | Deepakta Kaur | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205247970 | Clinton Surgical Pllc | Surgery | 603 Beaman St Ste 200, Clinton, NC 28328-2647 | 2014-05-15 |
| 1760744361 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman Street, Clinton, NC 28328-2603 | 2012-06-11 |
| 1306059845 | Jan Bristow Newman | Surgery | 3436 Mountain Dr, Clinton, MT 59825-9750 | 2007-05-08 |
| 1538114186 | Steve Palmer Schoettle | Surgery | 2526 Hwy 65 South, Suite 205, Clinton, AR 72031 | 2006-05-23 |
| 1275596017 | Michael Arthur Valenti | Surgery | 603 Beaman Street, Suite 200, Clinton, NC 28328-2647 | 2006-04-11 |
| 1073580122 | Sidney P Rohrscheib | Surgery | 803 Illini Dr, Clinton, IL 61727-9444 | 2006-03-07 |
| 1699774752 | Rufus W Watkins | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2005-07-20 |
| 1063880599 | Medstar Southern Maryland Physicians, LLC | Surgery | 7501 Surratts Rd, Suite 208, Clinton, MD 20735-3362 | 2015-09-15 |
| 1871903054 | Medstar Southern Maryland Physicians, LLC | Surgery | 7501 Surratts Rd, Suite 305, Clinton, MD 20735-3362 | 2014-04-28 |
| 1205259298 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman St, Clinton, NC 28328-2603 | 2014-01-27 |
| Find all providers in CLINTON | ||||
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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.