Angelito L Samson
M.D. | Pediatric Adolescent Medicine | Male
Angelito L Samson, M.D. is a Shelbyville, Kentucky based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Angelito L Samson is
150 Frankfort Rd Ste 101, Shelbyville, Kentucky - 40065-7401. He can be contacted on phone at
502-647-5468 and fax number 502-647-7134.
Angelito L Samson is a sole proprietor of his business.
NPI number (Unique professional ID) for Angelito L Samson is
1871694174 which was assigned by NPPES on 26 Sep, 2006 and it was last updated on 21 Sep, 2022.
Angelito L Samson license number is
29789 for Pediatrics, Adolescent Medicine (2080A0000X) in Kentucky.
Angelito L Samson 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.
Complete Profile:
Angelito L Samson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Angelito L Samson |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Angelito L Samson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 150 Frankfort Rd Ste 101
Shelbyville, KY, 40065-7401
United States |
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| Phone Number : | 502-647-5468 |
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| Fax Number : | 502-647-7134 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871694174 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Sep, 2006 |
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| Last Updated On : | 21 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angelito L Samson are as mentioned. Primary taxonomy code for Angelito L Samson, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | 29789 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Angelito L Samson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 300056797 | MEDICAID | IN | |
| 64297898 | MEDICAID | KY | |
| G04319 | MEDICARE UPIN | KY | |
| K140311 | Other (non-Medicare) | KY | Medicare |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | asamson47331@direct.nortonhealthcare.org
| No affiliation |
|
| 150 Frankfort Rd, Suite 101
Shelbyville, KY, 40065-9433
United States |
FHIR
(FHIR URL) | https://epicsoap.nortonhealthcare.org/
| No affiliation |
|
| 150 Frankfort Rd, Suite 101
Shelbyville, KY, 40065-9433
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 776879
Chicago, IL, 60677-6879
United States |
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| Phone Number : | 502-588-9490 |
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| Fax Number : | 502-272-5116 |
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Business Location:
Patients can refer following map for directions to
Angelito L Samson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.