MR. SCOTT DAVID SAMPLE (NPI# 1457702920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457702920 |
| Entity Type | Individual |
| Full Name | MR. SCOTT DAVID SAMPLE |
| Credential | MASTERS OF ARTS |
| Practice Address |
22111 Grix St Woodhaven MI 48183-3247 |
| Practice Telephone | 7345584217 |
| Mailing Telephone | 7345584217 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444216 | Scott A. Sample | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-23 |
| Street Address |
22111 GRIX ST |
| City | WOODHAVEN |
| State | MI |
| Zip Code | 48183-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695055 | James Grier IIi | Technician, Other | 25103 Marsh Creek Blvd, Apt. 201, Woodhaven, MI 48183-6512 | 2016-09-01 |
| 1265986160 | Katrina Mckinney Grier | Technician, Other | 25103 Marsh Creek Blvd Apt 201, Woodhaven, MI 48183-6512 | 2016-08-09 |
| 1992107908 | Phyl-kia Miller | Technician, Other | 18730 Van Horn Rd, Apt 202, Woodhaven, MI 48183-3879 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321200 | Jamie Price-tober | Technician, Other | 4777 Spitler Dr, Bay City, MI 48706-9498 | 2020-09-22 |
| 1043824535 | Audrey E Carlson | Technician, Other | 5 Skyhaven Ct, Saginaw, MI 48604-1820 | 2020-09-02 |
| 1417569666 | Nicole Gainforth | Technician, Other | 610 Hickory Ct, Sebewaing, MI 48759-1413 | 2020-08-19 |
| 1205447364 | Bryan David Wilkinson | Technician, Other | 153 E Auburn Trl, Brighton, MI 48114-5011 | 2020-08-12 |
| 1104442656 | Meredith Sparks | Technician, Other | 1053 Kirk Dr Se, Grand Rapids, MI 49546-3740 | 2020-06-21 |
| 1487276366 | Sarah Zimmerman | Technician, Other | 2341 Valleywood Dr Se Apt L12, Grand Rapids, MI 49546-7707 | 2020-05-13 |
| 1649890096 | Justice Kristina-marie Bass | Technician, Other | 401 E Willard Ave Apt 4, Lansing, MI 48910-3078 | 2020-04-24 |
| 1609400522 | Vickie Gaines | Technician, Other | 28096 Palomino Dr, Warren, MI 48093-4232 | 2020-02-29 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1376182766 | Katie Marie Morton | Technician, Other | 3210 Elnor Dr, Gladwin, MI 48624-8366 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
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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.