Dr. Charles Michael Samson

MD | Pediatric Gastroenterology | Male

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Complete Profile:

Dr. Charles Michael Samson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Dr. Charles Michael Samson
Credential :	MD
Gender :	Male

Business Address:

Dr. Charles Michael 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 :	1 Childrens Pl, Div Ped Gastro, Hepatology & Nutrition Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6173
Fax Number :	844-231-8912

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 :	1194932301
NPI Entity Type :	Individual
First Enrolment Date :	17 May, 2007
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Charles Michael Samson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2163575895
Medicare Enrollment ID :	I20110801000715
Primary Specialty :	Gastroenterology
Medical School :	Washington University School Of Medicine
Graduation Year :	2003
Accepts Medicare?	Yes. Dr. Charles Michael Samson accepts medicare insurance.

Group Practice Association:

Dr. Charles Michael Samson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Charles Michael Samson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002	Yes

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 Dr. Charles Michael Samson are as mentioned. Primary taxonomy code for Dr. Charles Michael Samson, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2011019875	MO
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	2011019875	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Charles Michael Samson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
204405104	MEDICAID	MO

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).

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 :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-6173
Fax Number :	314-454-2412

Business Location:

Patients can refer following map for directions to Dr. Charles Michael 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.