DR. COLLEEN SAM (NPI# 1710900816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710900816 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN SAM |
| Credential | MD |
| Practice Address |
809 W Randol Mill Rd Arlington TX 76012-2507 |
| Practice Telephone | 8174600257 |
| Practice Fax Number | 8175480607 |
| Mailing Telephone | 8174600257 |
| Mailing Fax Number | 8175480607 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M4508 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 181122601 | 05 | |
| TX | 181122604 | 05 | |
| TX | 181122606 | 05 |
| Street Address |
809 W RANDOL MILL RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093766701 | Carlos Mcclellan Kier | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-05-15 |
| 1518528868 | Scott Randall Clark | Nurse Practitioner | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2019-06-27 |
| 1891218228 | Merin Sara Babu | Physician Assistant | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2017-07-18 |
| 1659567758 | Hedieh Davanloo | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2007-09-21 |
| 1144263575 | David Dee Russell | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-14 |
| 1962444026 | Robin Lynn Johnston | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-12 |
| 1972543502 | Robert Alexander Buschow | Internal Medicine | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-08 |
| 1417995093 | G Byron Kallam | Obstetrics & Gynecology | 809 W Randol Mill Rd, Arlington, TX 76012-2507 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| 1023663846 | Cam Equity LLC | Internal Medicine | 1720 Oak Village Blvd Ste 200a, Arlington, TX 76017-7950 | 2019-08-08 |
| 1831659515 | Denisha Robinson | Internal Medicine | 3600 Matlock Rd Ste 200, Arlington, TX 76015-3679 | 2019-03-20 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1972036226 | Bureeni Internal Medicine Pllc | Internal Medicine | 1614 Weeping Willow Ln, Arlington, TX 76002-4642 | 2017-04-04 |
| 1346791654 | One Call Healthcare Pllc | Internal Medicine | 1 Farmer Cir, Arlington, MA 02474-2866 | 2016-10-21 |
| 1316492937 | Amy Sue Bloom | Internal Medicine | 2100 Crystal Dr, 10102a, Arlington, VA 22202-3784 | 2016-08-24 |
| 1659727105 | Sharon Ogidan | Internal Medicine | 1700 Greenbend Dr, Arlington, TX 76018-4828 | 2016-05-13 |
| 1790149300 | Mahmoud Khalaf | Internal Medicine | 7700 Sharon Lee Dr # 1, Arlington, TX 76001-7092 | 2016-04-09 |
| Find all providers in ARLINGTON | ||||
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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.