David A Sam (NPI# 1710962055, PAC ID# 1658338850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710962055 |
| PAC ID by PECOS | 1658338850 |
| Professional Enrollment ID | I20041220000062 |
| Full Name | David A Sam |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Address |
1000 Broad St Central Falls RI 02863-1507 |
| Phone Number | 4017220081 |
| Gender | M |
| Credential | MD |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628045762 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Broad St, Central Falls, RI 02863-1507 | 4017220081 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| 9 Chestnut St, Central Falls, RI 02863-2005 | 4017220081 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ian M Jacobson | Emergency Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Daijsia Melena Bubb | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Nicole Snapper | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Elana Schwam | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Anne Barylick | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Cristina Pacheco | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Carol S Cancro | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Kunjbala B Sharma | Family Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Tirza Goncalves | Clinical Social Worker | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Katherene R Hofstetter | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Street Address |
1000 BROAD ST |
| City | CENTRAL FALLS |
| State | RI |
| Zip | 02863-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Mancino | Chiropractic | 1000 Broad St, Bloomfield, NJ 07003-2807 | |
| Tirza Goncalves | Clinical Social Worker | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Adriana Reyna | Physician Assistant | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Safa F Wagdi | Ophthalmology | 1002 Broad St, Central Falls, RI 02863-1500 | |
| Gilbert J Altongy | Internal Medicine | 1002 Broad St, Central Falls, RI 02863-1500 | |
| Ernesto A Mirabal | Internal Medicine | 1002 Broad St, Suite 3, Central Falls, RI 02863-1510 | |
| Justin L Belanger | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Amanda L Quinones | Chiropractic | Decrescenzo Chiropractic, Inc | 1084 Broad St, Central Falls, RI 02863-1516 |
| Kunjbala B Sharma | Family Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Michael S Siclari | Emergency Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Alicia Paquin | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Matthew Bartolotti | Physician Assistant | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Mary Blanchet | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Find all physicians in zip 02863 | |||
| City | CENTRAL FALLS |
| Zip Code | 02863 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CENTRAL FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David A Sam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.