ANGELITO L SAMSON (NPI# 1871694174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871694174 |
| Entity Type | Individual |
| Full Name | ANGELITO L SAMSON |
| Credential | M.D. |
| Practice Address |
150 Frankfort Rd Suite 101 Shelbyville KY 40065-9433 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5026475468 |
| Practice Fax Number | 5026477134 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29789 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
150 FRANKFORT RD SUITE 101 |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083702062 | Arlyn E. Lua-canby | Pediatrics | 150 Frankfort Rd, Suite 101, Shelbyville, KY 40065-9433 | 2006-10-11 |
| 1982793956 | Lisa B Lyon | Pediatrics | 150 Frankfort Rd, Suite 101, Shelbyville, KY 40065-9433 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318923 | Barbara F Kaczmarska | Pediatrics | 880 Colloredo Blvd, Shelbyville, TN 37160-2774 | 2005-07-07 |
| 1225198294 | Pediatric and Neonatal Practice | Pediatrics | 720 Hospital Dr, 2nd Floor, Shelbyville, KY 40065-1685 | 2006-12-11 |
| 1083702062 | Arlyn E. Lua-canby | Pediatrics | 150 Frankfort Rd, Suite 101, Shelbyville, KY 40065-9433 | 2006-10-11 |
| 1982793956 | Lisa B Lyon | Pediatrics | 150 Frankfort Rd, Suite 101, Shelbyville, KY 40065-9433 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154715159 | Gregory Tracy | Pediatrics | 3050 Harrodsburg Rd Ste 100, Lexington, KY 40503 | 2015-03-27 |
| 1497088090 | Henderson Pediatrics, Psc | Pediatrics | 1035 N Elm St, Henderson, KY 42420-2712 | 2009-09-14 |
| 1679773154 | Sheila M Guelda Md Pllc | Pediatrics | 2809 N Hurstbourne Pkwy, Suite 109, Louisville, KY 40223-1279 | 2007-07-23 |
| 1235296617 | Suzanne L Woods | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-01-03 |
| 1811062151 | Winit Chartisathian | Pediatrics | 73 Kingswood Dr, Campbellsville, KY 42718-9604 | 2006-11-22 |
| 1558376392 | Robert J Tagher | Pediatrics | 7409 Us Highway 42, Florence, KY 41042-1905 | 2006-07-30 |
| 1710947817 | Paul J Janson | Pediatrics | 7370 Turfway Road, Suite 280, Florence, KY 41042 | 2006-03-24 |
| 1457331555 | Debra R. Bailey | Pediatrics | 419 Town Mountain Road, Suite 202, Pikeville, KY 41501-1633 | 2006-01-17 |
| 1700863230 | Dana J Distler | Pediatrics | 301 Middletown Park Pl, Suite C, Louisville, KY 40243-2515 | 2005-12-27 |
| 1194719831 | John P Oliphant | Pediatrics | 3427 Stony Spring Cir, Louisville, KY 40220-5437 | 2005-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.