Samuel L. Zuckerman
M.D. | Pediatric Critical Care Medicine | Male
Samuel L. Zuckerman, M.D. is a Idaho Falls, Idaho based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Samuel L. Zuckerman is
Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, Idaho - 83404-7533. He can be contacted on phone at
602-346-7013.
Samuel L. Zuckerman is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel L. Zuckerman is
1831156595 which was assigned by NPPES on 27 Apr, 2006 and it was last updated on 10 Dec, 2020.
Samuel L. Zuckerman license number is
M-15488 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Idaho.
Samuel L. Zuckerman is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Samuel L. Zuckerman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Samuel L. Zuckerman |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Samuel L. Zuckerman 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 : | Mountain Neonatology Llc, 3100 Channing Way
Idaho Falls, ID, 83404-7533
United States |
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| Phone Number : | 602-346-7013 |
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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 : | 1831156595 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Apr, 2006 |
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| Last Updated On : | 10 Dec, 2020 |
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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 L. Zuckerman are as mentioned. Primary taxonomy code for Samuel L. Zuckerman, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207LP3000X | Anesthesiology Pediatric Anesthesiology | No | J9854 | TX |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | J9854 | TX |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | M-15488 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Samuel L. Zuckerman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 132776911 | MEDICAID | TX | |
| 200102900 A | MEDICAID | OH | |
| 132776912 | MEDICAID | TX | |
| 132776910 | MEDICAID | TX | |
| 33787336 | MEDICAID | NM | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
315 N SAN SABA STE 1135,
SAN ANTONIO, TX, 78207-3255
United States | SAN ANTONIO, TX | 210-737-4928 |
1400 S COULTER ST,
AMARILLO, TX, 79106-1786
United States | AMARILLO, TX | 806-414-9800 |
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 : | 3100 Channing Way
Idaho Falls, ID, 83404-7533
United States |
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| Phone Number : | 210-737-4928 |
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Business Location:
Patients can refer following map for directions to
Samuel L. Zuckerman 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.