SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC (NPI# 1285048306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285048306 |
| Entity Type | Organization |
| Organization Name | SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC |
| Other Organization Name | SAMPSON REGIONAL ORTHOPEDIC SERVICES |
| Practice Address |
607 Beaman St Clinton NC 28328-2603 |
| Mailing Address |
Po Box 890315 Charlotte NC 28289-0315 |
| Practice Telephone | 9105965429 |
| Practice Fax Number | 9105965430 |
| Mailing Telephone | 9105965429 |
| Mailing Fax Number | 9105965430 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | HUNTER BALLTZGLIER (DIRECTOR OF PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 9105908755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sampson Regional Orthopedic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760744361 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman Street, Clinton, NC 28328-2603 | 2012-06-11 |
| 1265828990 | Sampson Regional Professional Services, LLC | Family Medicine | 607 Beaman St, Clinton, NC 28328-2603 | 2015-04-09 |
| 1205259298 | Sampson Regional Professional Services, LLC | Surgery | 607 Beaman St, Clinton, NC 28328-2603 | 2014-01-27 |
| Street Address |
607 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886611 | Michele Therese Lewis | Nurse Anesthetist, Certified Registered | 607 Beaman St, Anesthesia Department, Clinton, NC 28328-2603 | 2005-07-21 |
| 1881214773 | Nicholas Royster | Family Medicine | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-21 |
| 1679192082 | Henry Nathaniel Curry | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-15 |
| 1073132338 | Yasmin Hadian | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-15 |
| 1194344994 | Abigail Leigh Hunter | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-11 |
| 1225657208 | Mason Zachary Day | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-10 |
| 1942829882 | Jarett Casale | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-10 |
| 1255950465 | Jordan Edward Wong | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-09 |
| 1588283527 | Rishikumar Gopinath | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2020-04-09 |
| 1538620232 | Deepakta Kaur | Student in an Organized Health Care Education/Training Program | 607 Beaman St, Clinton, NC 28328-2603 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1285980821 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 3130 Hayes Ave, Clinton, OK 73601-3601 | 2012-08-01 |
| 1396815379 | Samuel Jobe Wilder Jr. | Orthopaedic Surgery | 103 Ellicot Burn, Clinton, MS 39056-6217 | 2006-11-08 |
| 1932290798 | Orthotennessee, PC | Orthopaedic Surgery | 2130 N Charles G Seivers Blvd, Clinton, TN 37716-6705 | 2006-09-27 |
| 1790882777 | William Alexander Huff | Orthopaedic Surgery | 520 Beaman St, Clinton, NC 28328-2602 | 2006-09-20 |
| 1689623712 | Washington Orthopaedic & Knee Clinic | Orthopaedic Surgery | 7801 Old Branch Avenue, Suite 409, Clinton, MD 20635 | 2006-05-08 |
| 1396793873 | Phillip H Milner | Orthopaedic Surgery | 22971 Highway 76 E, Clinton, SC 29325-7529 | 2006-05-05 |
| 1124526355 | Huff Orthopaedic Group, P.a. | Orthopaedic Surgery | 520 Beaman St, Clinton, NC 28328-2602 | 2018-01-23 |
| 1588051155 | Premier Orthopedics, P.a. | Orthopaedic Surgery | 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 | 2015-04-22 |
| Find all providers in CLINTON | ||||
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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.