LUIS SAMPER (NPI# 1407946825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407946825 |
| Entity Type | Individual |
| Full Name | LUIS SAMPER |
| Credential | MD |
| Practice Address |
750 North Cobb Street Suite 230 Milledgeville GA 31061 |
| Practice Telephone | 4784539383 |
| Practice Fax Number | 4784521147 |
| Mailing Telephone | 4784539383 |
| Mailing Fax Number | 4784521147 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2011-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13713 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 0011822A | 05 | |
| GA | BCBS | 52041050002 | 01 |
| Street Address |
750 NORTH COBB STREET SUITE 230 |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1629619945 | Gini M Ellis | Counselor | Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 | 2019-10-08 |
| 1356992275 | Community Health Care Systems, Inc | Clinic/Center | 100 N Abc Street, Milledgeville, GA 31061 | 2019-09-23 |
| 1467923805 | Adam Tocio | Specialist/Technologist | 350 W. Washington St., Milledgeville, GA 31061 | 2018-12-11 |
| 1487170304 | Aubrey Martin | Specialist/Technologist | 251 S Clark St., Milledgeville, GA 31061 | 2017-08-22 |
| 1427573054 | Heritagefirst Home Care Inc. | In Home Supportive Care | 1277 Twin Pine Road, Milledgeville, GA 31061 | 2017-08-04 |
| 1851813893 | Brittany Shantrel Primas | Nurse Practitioner | 102 A Airport Road Ne, Milledgeville, GA 31061 | 2017-07-12 |
| 1609300839 | Samantha Weldon | Behavioral Analyst | 174 Stewart Dr Nw, Milledgeville, GA 31061 | 2017-04-14 |
| 1427425230 | Foster Deariso | Specialist/Technologist | 251 S Clarke St, Milledgeville, GA 31061 | 2015-08-27 |
| 1023406279 | Llewelyn Garillos | Occupational Therapist | 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 | 2014-12-22 |
| Find all providers in zip 31061 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558500983 | Milledgeville Pediatrics PC | Pediatrics | 750 N Cobb St Ste 230, Milledgeville, GA 31061-7162 | 2009-02-09 |
| 1467660167 | Kids First Pediatrics | Pediatrics | 530 N Cobb St, Milledgeville, GA 31061-2635 | 2007-05-18 |
| 1568545473 | Kathryn Page | Pediatrics | 2938 Heritage Pl Ne Ste A, Milledgeville, GA 31061-7209 | 2006-10-23 |
| 1477565463 | Howard N Caplan | Pediatrics | 1371 Orchard Hill Rd, Milledgeville, GA 31061-2551 | 2006-08-12 |
| 1245208339 | Sokar Sia Kendor | Pediatrics | 530 North Cobb Street, Milledgeville, GA 31061-2635 | 2006-03-14 |
| 1790061604 | Sokar Kendor Md PC | Pediatrics | 530 North Cobb Street, Milledgeville, GA 31061-2635 | 2011-10-25 |
| 1609152511 | Christopher Bowers Md PC | Pediatrics | 530 North Cobb Street, Milledgeville, GA 31061-2635 | 2011-10-25 |
| 1518243427 | Prabhdeep Brar Md PC | Pediatrics | 530 North Cobb Street, Milledgeville, GA 31061-2635 | 2011-10-25 |
| 1477744076 | Christopher Bowers | Pediatrics | 530 North Cobb Street, Milledgeville, GA 31061-2635 | 2007-08-08 |
| 1578780037 | Marshall Wright Ivey II | Pediatrics | 750 N Cobb St, Suite 230, Milledgeville, GA 31061-2390 | 2007-04-19 |
| Find all providers in MILLEDGEVILLE | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
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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.