MICHAEL SAMPSON (NPI# 1851483515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851483515 |
| Entity Type | Individual |
| Full Name | MICHAEL SAMPSON |
| Credential | MD |
| Practice Address |
513 5th Ave W Grand Marais MN 55604-3017 |
| Practice Telephone | 2183872330 |
| Practice Fax Number | 2183871278 |
| Mailing Telephone | 2183872330 |
| Mailing Fax Number | 2183871278 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29409 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 69144CO | 01 |
| MN | 536253900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225545148 | Michael Richard Sampson | Specialist/Technologist | 61 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-12-30 |
| 1609079284 | Michael Charles Sampson | Dentist | 989 N Collier Blvd, Marco Island, FL 34145-2773 | 2007-06-09 |
| 1568466100 | Michael Sean Sampson | Internal Medicine | 3919 Beverly Blvd Ste 203, Los Angeles, CA 90004-3432 | 2005-06-10 |
| 1629587993 | Michael Sampson | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2017-09-29 |
| 1619259256 | Michael Sampson | Social Worker | 120 Maple St, Springfield, MA 01103-2203 | 2011-09-09 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| 1982788428 | Michael G Sampson | Internal Medicine | 185 Old Country Rd, Suite 3, Riverhead, NY 11901-2121 | 2006-10-24 |
| 1457388621 | Michael J Sampson | Family Medicine | 817 Davis St, Suite A, Blacksburg, VA 24060-7013 | 2006-06-26 |
| Street Address |
513 5TH AVE W |
| City | GRAND MARAIS |
| State | MN |
| Zip Code | 55604-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832894 | Sawtooth Mountain Clinic, Inc. | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2005-09-21 |
| 1952930992 | James Paul Zimmer | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2020-04-02 |
| 1750882791 | Margarette Farchmin | Pharmacist | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2018-02-26 |
| 1619346772 | Jane-marie Asay | Social Worker | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-09-18 |
| 1093195471 | Catherine Marie Hansen | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-06-01 |
| 1558623090 | Kurt Farchmin | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2012-06-11 |
| 1831381193 | Lisa Marie Zallar | Nurse Practitioner | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2007-08-10 |
| 1023056256 | Milan C Schmidt | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-06-02 |
| 1093784167 | Paul E Terrill | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-14 |
| 1184692675 | Jennifer L Delfs | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697038 | Grace Sliwinska-floe | Technician | 403 W 2nd Ave, Grand Marais, MN 55604 | 2019-09-05 |
| 1992271779 | Kristie Batz | Behavior Technician | Accend Services, 101 W Hwy 61, Grand Marais, MN 55604 | 2018-10-18 |
| 1083987143 | Jessi Elizabeth Nicholson | Acupuncturist | 101 W Hwy 61, Suite 130, Grand Marais, MN 55604 | 2012-02-20 |
| 1033429873 | Grand Marais Investors, LLC | Pharmacy | 425 W Highway 61, Grand Marais, MN 55604 | 2010-10-14 |
| 1679710289 | Gwen Lawler | Social Worker | 1807 West Highway 61, Grand Marais, MN 55604 | 2009-01-20 |
| 1487879243 | Alyssa Anne Hedstrom | Dentist | 303 E 3rd Street, Grand Marais, MN 55604 | 2007-04-16 |
| 1528121308 | North Shore Pharmacy Ltd | Pharmacy | 21 West Highway 61, Grand Marais, MN 55604 | 2006-12-19 |
| 1497831705 | Gunflint Trail Volunteer Fire Department | Ambulance | 112 S Gunflint Lk Rd, Grand Marais, MN 55604 | 2006-10-29 |
| 1518391010 | Grand Marais Family Dentistry | Dentist | 303 E 3rd St, Grand Marais, MN 55604 | 2013-09-03 |
| 1700026762 | Sawtooth Chiropractic PC | Chiropractor | 501 W 5th St, Grand Marais, MN 55604 | 2009-03-03 |
| Find all providers in zip 55604 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093195471 | Catherine Marie Hansen | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2015-06-01 |
| 1558623090 | Kurt Farchmin | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2012-06-11 |
| 1023056256 | Milan C Schmidt | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-06-02 |
| 1093784167 | Paul E Terrill | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-14 |
| 1184692675 | Jennifer L Delfs | Family Medicine | 513 5th Ave W, Grand Marais, MN 55604-3017 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND MARAIS |
| Zip Code | 55604 |
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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.