DR. SAMUEL L. FORT (NPI# 1841254166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841254166 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL L. FORT |
| Practice Address |
203b Mocksville Ave Salisbury NC 28144-3325 |
| Mailing Address |
Po Box 2145 203 B Mocksville Avenue Salisbury NC 28145-2145 |
| Practice Telephone | 7046360971 |
| Practice Fax Number | 7046368854 |
| Mailing Telephone | 7046360971 |
| Mailing Fax Number | 7046368554 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 9501242 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8933148 | 05 | |
| BCBS | 33148 | 01 |
| Street Address |
203B MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346204369 | Sandra L Swanson | Legal Medicine | 203b Mocksville Ave, Salisbury, NC 28144-3325 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720280852 | Jason Manh Tu | Legal Medicine | 31519 Winterplace Pkwy, Suite 1, Salisbury, MD 21804-1884 | 2007-06-01 |
| 1346204369 | Sandra L Swanson | Legal Medicine | 203b Mocksville Ave, Salisbury, NC 28144-3325 | 2006-04-14 |
| 1740287663 | Ashok Kumar Mudundi | Legal Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417277278 | Charles Frazier Inc | Legal Medicine | 411 Parkway Ste E, Greensboro, NC 27401-1644 | 2010-06-03 |
| 1093948762 | Aa Management Corp Inc | Legal Medicine | 5225 Albemarle Rd, Charlotte, NC 28212-3604 | 2009-08-28 |
| 1669654901 | Elizabeth D Bryan Md Pa | Legal Medicine | 603 Beaman St Ste 402, Clinton, NC 28328-2689 | 2007-11-28 |
| 1235318577 | Grace Family Medicine | Legal Medicine | 902 Fleming St Ste B, Hendersonville, NC 28791-3504 | 2007-11-02 |
| 1447458757 | Cynthia Brown Greer | Legal Medicine | 224 Rabbit Run Rd, Boone, NC 28607-6829 | 2007-07-08 |
| 1700087483 | Carolinas Psychiatric Associates Christian Counseling Clinic Pa | Legal Medicine | 1552 Union Rd Ste C, Gastonia, NC 28054-5523 | 2007-05-30 |
| 1740496942 | Joseph Martin Lightsey | Legal Medicine | 831 West Morgan Street, Raleigh, NC 27699-4278 | 2007-05-15 |
| 1710003827 | Triangle Cardiology & Internal Medicine | Legal Medicine | 30 Cherokee Trl, Fletcher, NC 28732-9436 | 2007-03-21 |
| 1528195906 | Pamlico Pediatrics, PC | Legal Medicine | 13531 Hwy 55 West, Alliance, NC 28509 | 2007-02-27 |
| 1558422600 | Patricia Ann Chamberlin | Legal Medicine | 350 N Cox St Ste 12, Asheboro, NC 27203-5514 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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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.