SAMUEL LEVI WORSHAM (NPI# 1275912602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275912602 |
| Entity Type | Individual |
| Full Name | SAMUEL LEVI WORSHAM |
| Credential | D |
| Practice Address |
3920 St Francis Way Ste 220 Lafayette IN 47905-4922 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7654285950 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 02005855A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901 Rainbow Blvd, Kansas City, KS 661608500 | 9135883975 | 9135352101 |
| Street Address |
3920 ST FRANCIS WAY STE 220 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280670 | Salim S Abou Jaoude | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-01-25 |
| 1750677589 | Pradeep Gnanapragasam | Physical Medicine & Rehabilitation | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2011-06-20 |
| 1437200557 | Nini C Thomas | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2007-01-16 |
| 1841387529 | Andrew J Krutul | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-10-06 |
| 1881617538 | Jill M. Reisman | Physician Assistant | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-25 |
| 1477575769 | Mark D. Griffith | Physical Medicine & Rehabilitation | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-24 |
| 1205855418 | Imad E. Khadra | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-07-19 |
| 1982623120 | Rita A. Mankus | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905 | 2006-07-19 |
| 1740208180 | Shahid Ahsan | Internal Medicine | 3920 St Francis Way Ste 220, Lafayette, IN 47905-4922 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1205340676 | Robert Caspari | Internal Medicine | 2465 Cana Ct, Lafayette, CO 80026-9345 | 2017-11-21 |
| 1285151282 | Internal Medicine Clinic of Acadiana, LLC | Internal Medicine | 100 Waterford Dr, Lafayette, LA 70503-5401 | 2017-08-29 |
| 1669823142 | Lafayette Weight Loss Clinic, LLC | Internal Medicine | 5439 Johnston St, Lafayette, LA 70503-5135 | 2016-06-27 |
| 1689024911 | Himani Reddy Manthena | Internal Medicine | 401 Youngsville Hwy Ste 200b, Lafayette, LA 70508-5173 | 2016-06-17 |
| 1295196194 | Emily Charlie | Internal Medicine | 155 Hospital Dr Ste 205, Lafayette, LA 70503-2852 | 2016-03-19 |
| 1285095372 | Chad N Heinen Md Hospitalist Corporation | Internal Medicine | 310 Highway 89, Lafayette, LA 70508-4524 | 2016-03-16 |
| 1316308190 | Linda Lipstate | Internal Medicine | 408 Roswell Xing, Lafayette, LA 70508-6778 | 2016-03-08 |
| 1821484833 | Shantell Ceaser | Internal Medicine | 2390 West Congress Street., Lafayette, LA 70506 | 2015-04-07 |
| 1932511821 | Rory Bennett | Internal Medicine | 515 Saint Julien Ave, Lafayette, LA 70506-4735 | 2014-05-27 |
| Find all providers in LAFAYETTE | ||||
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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.