Sam L Mortimer
M.D. | Pediatrics | Male
Sam L Mortimer, M.D. is a Rapid City, South Dakota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Sam L Mortimer is
2905 5th St, Rapid City, South Dakota - 57701-7316. He can be contacted on phone at
605-341-7337 and fax number 605-341-2447.
Sam L Mortimer is a sole proprietor of his business.
NPI number (Unique professional ID) for Sam L Mortimer is
1033134135 which was assigned by NPPES on 12 Jul, 2006 and it was last updated on 31 Jan, 2012.
Sam L Mortimer license number is
2119 for Pediatrics (208000000X) in South Dakota.
Sam L Mortimer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sam L Mortimer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sam L Mortimer |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Sam L Mortimer 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 : | 2905 5th St
Rapid City, SD, 57701-7316
United States |
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| Phone Number : | 605-341-7337 |
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| Fax Number : | 605-341-2447 |
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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 : | 1033134135 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2006 |
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| Last Updated On : | 31 Jan, 2012 |
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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 Sam L Mortimer are as mentioned. Primary taxonomy code for Sam L Mortimer, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2119 | SD |
Legacy Identifiers:
Other legacy medical identifiers of Sam L Mortimer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6700210 | MEDICAID | SD | |
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 : | 2905 5th St
Rapid City, SD, 57701-7316
United States |
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| Phone Number : | 605-341-7337 |
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| Fax Number : | 605-341-2447 |
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Business Location:
Patients can refer following map for directions to
Sam L Mortimer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.