DR. SAMUEL PAUL PURPURA JR. (NPI# 1689647059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689647059 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL PAUL PURPURA JR. |
| Credential | DO |
| Practice Address |
928 Jaymor Rd Ste A-100 Southampton PA 18966 |
| Practice Telephone | 2153225002 |
| Practice Fax Number | 2153225008 |
| Mailing Telephone | 2153225002 |
| Mailing Fax Number | 2153225008 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 05009043L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NUMBER | 086875 | 01 |
| Street Address |
928 JAYMOR RD STE A-100 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710364567 | Victoria Schultheis | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2015-04-30 |
| 1962845636 | Shadana Davis | Psychologist | 928 Jaymor Rd, Suite B-150, Southampton, PA 18966-3826 | 2013-04-12 |
| 1760727408 | Growth Opportunity Center | Community/Behavioral Health | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-12-06 |
| 1477829844 | Growth Opportunity Center | Counselor | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-03-29 |
| 1164733408 | Bucks Mont Psychotherapy LLC | Psychologist | 928 Jaymor Rd, Suite A-120, Southampton, PA 18966-3826 | 2010-07-01 |
| 1861714701 | Christina Marie King | Counselor | 928 Jaymor Rd, Southampton, PA 18966-3826 | 2010-02-19 |
| 1083880710 | Cichetti & Delligatti Orthodontics PC | Dentist | 928 Jaymor Rd, Suite 130a, Southampton, PA 18966-3826 | 2008-05-02 |
| 1902943178 | Hyung Yeo | Psychiatry & Neurology | 928 Jaymor Rd, Suite B150, Southampton, PA 18966-3826 | 2007-01-30 |
| 1811939663 | John Marcello Gentry | Psychologist | 928 Jaymor Rd, Suite B-150, Southampton, PA 18966-3826 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| 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 |
|---|---|---|---|---|
| 1144723677 | Butterwick & Kerner Associates, LLC | Internal Medicine | 283 Second Street Pike Ste 145, Southampton, PA 18966-3869 | 2018-03-12 |
| 1386907426 | Lindsay R Jablonski | Internal Medicine | 729 Grove Avenue, Suite 4, Infectious Diseases Associates, P.C., Southampton, PA 18966-6008 | 2012-06-22 |
| 1063773455 | Barbara Jo Aimino | Internal Medicine | 581 New Rd, Southampton, PA 18966-3784 | 2012-06-03 |
| 1073801502 | Eugenia Kevelyuk | Internal Medicine | 25 Heather Valley Rd, Southampton, PA 18966-2634 | 2011-07-18 |
| 1366768384 | Dana L. Kerner D.o. LLC | Internal Medicine | 501 Street Rd Ste 100, Southampton, PA 18966-3796 | 2010-04-15 |
| 1609008663 | Perry Steven Eisman | Internal Medicine | 24 Millfarm Ln, Southampton, NY 11968-2906 | 2009-08-10 |
| 1902088495 | Meeting House Lane Medical Practice PC | Internal Medicine | 57 Hampton Rd, Suite 201, Southampton, NY 11968-4973 | 2007-11-27 |
| 1336363373 | Thomas Mathew | Internal Medicine | 238 Old Town Rd, Southampton, NY 11968-5013 | 2007-04-12 |
| 1336289115 | Southampton Medical Practice PC | Internal Medicine | 763 Grove Ave, Southampton, PA 18966-3438 | 2007-02-08 |
| 1518058254 | Byoung-kwon Chin | Internal Medicine | 763 Grove Avenue, Southampton, PA 18966-3438 | 2006-09-27 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.