DAVID E SAMUEL DPM; NPI #1609066471

Contact Information

DAVID E SAMUEL DPM

196 WEST SPROUL ROAD
SUITE 107
SPRINGFIELD, PA 19064

Phone: 610-328-9122
Fax: 610-328-6219
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DAVID E SAMUEL DPM

NPI # 1609066471

LBN Legal business name DAVID E SAMUEL DPM

Authorized official DAVID SAMUEL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/27/2007

Last updated 02/12/2008 - About 18 years ago

Identifiers

PA	License #	SC003536L
PA	Medicaid	1007605920006
PA	Other	207731	ADVANTRA FREEDOM
PA	Other	2317760000	AMERIHEALTH ADM GROUP
PA	Other	1643217	BLUE SHIELD GROUP
PA	Other	53913	BRAVO HEALTH
PA	Other	036474	JEFFREY D.LEHRMANMEDICARE
PA	Other	2317760000	KEYSTONE HMO
PA	Other	30026957	KEYSTONE MERCY
PA	Other	2317760000	PERSONAL CHOICE GROUP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DAVID E SAMUEL DPM

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for DAVID E SAMUEL DPM

Reviews for DAVID E SAMUEL DPM