LINDSEY SAMPO (NPI# 1104235274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104235274 |
| Entity Type | Individual |
| Full Name | LINDSEY SAMPO |
| Credential | PA |
| Practice Address |
267 Hill Rd Suite 300 Rome NY 13441-4203 |
| Mailing Address |
4110 Medical Center Dr Ste 110 Fayetteville NY 13066-6613 |
| Practice Telephone | 3153370202 |
| Mailing Telephone | 3156630100 |
| Mailing Fax Number | 3156630052 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017811 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
017811 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
267 HILL RD SUITE 300 |
| City | ROME |
| State | NY |
| Zip Code | 13441-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765042 | Shuban K Moza | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2005-07-27 |
| 1851822175 | Elizabeth C Santaniello | Nurse Practitioner | 267 Hill Rd, Rome, NY 13441 | 2017-03-27 |
| 1508272287 | Sarah Eanniello | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2014-07-02 |
| 1346655834 | Katherine Freeman | Nurse Practitioner | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2014-06-24 |
| 1861750010 | Rome Medical Practice | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2012-04-25 |
| 1831311588 | Glady Jacob | Psychiatry & Neurology | 267 Hill Rd, Suite 100, Rome, NY 13441-4203 | 2007-05-03 |
| 1740318070 | Jessica Lisa Hurwitz | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831484567 | Griffiss Ec, LLC | Clinic/Center | 105 Dart Circle, Rome, NY 13441 | 2011-06-10 |
| 1437328713 | Duane Leo Wallace | Dentist | 63 Geiger Road, Rome, NY 13441 | 2008-02-21 |
| 1316008311 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 124 Brookley Road, Crp #7, Rome, NY 13441 | 2006-12-13 |
| 1821102161 | Nicholas S Peters | Internal Medicine | 267 Hill Road, Suite 200, Rome, NY 13441 | 2006-08-17 |
| 1396769048 | Judy Norman Wilburn | Nurse Practitioner | Rome Cboc of The Syracuse Va, 125 Brookley Ave., Rome, NY 13441 | 2006-07-26 |
| 1275590408 | Antonietta Luisi | Optometrist | 125 Brookley Road, Rome, NY 13441 | 2006-05-01 |
| 1730521964 | Kathleen Grabo Pallay | Nurse Practitioner | 91 Perimeter Rd, Rome, NY 13441 | 2013-07-30 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
| 1609937697 | Upstate Cerebral Palsy, Inc | Intermediate Care Facility, Mentally Retarded | 126 Brookley Road, Rome, NY 13441-0000 | 2006-12-13 |
| Find all providers in zip 13441 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518587781 | Chandler Holcombe | Physician Assistant | 100 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2020-04-17 |
| 1609400886 | Morgan Elise Benson Baker | Physician Assistant | 123 Three Rivers Dr Ne, Rome, GA 30161-2300 | 2020-02-26 |
| 1548805401 | Mallory Elizabeth Osborne | Physician Assistant | 330 Turner Mccall Blvd Sw, Rome, GA 30165-5630 | 2019-11-14 |
| 1710522933 | William Edward Johnson | Physician Assistant | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-11-12 |
| 1225670532 | Caleb Elisha Etheridge | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2019-10-09 |
| 1659934321 | Tara Simonson | Physician Assistant | 310 W 10th St Ne, Rome, GA 30165-2639 | 2019-04-18 |
| 1255805180 | Amanda Lynn Preteroti | Physician Assistant | 504 Redmond Rd Nw, Rome, GA 30165-1416 | 2019-01-14 |
| 1528535036 | Jaskirt Kaur Chahal | Physician Assistant | 1617 N James St, Rome, NY 13440-2852 | 2018-11-01 |
| 1205311131 | Austin James Malcom | Physician Assistant | 550 Redmond Rd Nw, Rome, GA 30165-1416 | 2018-09-26 |
| 1215439286 | Swaraj Suhas Hublikar | Physician Assistant | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2018-03-06 |
| Find all providers in ROME | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.