Samuel M Wentworth
M.D. | Pediatric Endocrinology | Male
Samuel M Wentworth, M.D. is a Danville, Indiana based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Samuel M Wentworth is
100 Hospital Ln, Suite 205, Danville, Indiana - 46122-1989. He can be contacted on phone at
317-745-7128 and fax number 317-745-3085.
Samuel M Wentworth is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel M Wentworth is
1215924550 which was assigned by NPPES on 03 Oct, 2005 and it was last updated on 17 Mar, 2021.
Samuel M Wentworth license number is
01022901A for Pediatrics Pediatric Endocrinology (2080P0205X) in Indiana.
Samuel M Wentworth provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Samuel M Wentworth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Samuel M Wentworth |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Samuel M Wentworth 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 : | 100 Hospital Ln, Suite 205
Danville, IN, 46122-1989
United States |
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| Phone Number : | 317-745-7128 |
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| Fax Number : | 317-745-3085 |
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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 : | 1215924550 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2005 |
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| Last Updated On : | 17 Mar, 2021 |
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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 Samuel M Wentworth are as mentioned. Primary taxonomy code for Samuel M Wentworth, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 01022901A | IN |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | 01022901A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Samuel M Wentworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100133390A | MEDICAID | IN | |
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) | swentworth228575@direct-PRD.stelizabeth.com
| No affiliation |
|
| 100 HOSPITAL LN, SUITE 205
DANVILLE, IN, 46122-1989
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 : | 1100 Southfield Dr, Suite 1370
Plainfield, IN, 46168-4498
United States |
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| Phone Number : | 317-837-5571 |
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| Fax Number : | 317-837-5580 |
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Business Location:
Patients can refer following map for directions to
Samuel M Wentworth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.