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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE TIMOTHY SAMPSON, MD

Active

SHANE TIMOTHY SAMPSON, MD is a Family Medicine healthcare provider located in CENTERVILLE, Ohio. NPI 1023080116 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CENTERVILLE, OH

Registration Details

NPI Number
1023080116
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2006 (20.518677519959 yrs)
Last Updated
Mar 1, 2019
Licenses
01038529 (IN)
35063468 (OH)

Practice Information

Address
1989 MIAMISBURG CENTERVILLE RD STE 301
CENTERVILLE, OH, 454593858
Browse OH providers · Browse ZIP 45459
Phone
9374347353
Fax
9374386569
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in CENTERVILLE, OH

Name Credential NPI
DR. ANTHONY F LUGO M.D. 1184626368
DR. EDWARD J KINKOPF D.O. 1932101151
JEFFREY B GLEICK MD 1760487599
DR. WILLIAM HARVEY FENBERG M.D. 1316947153
MARK S JEFFRIES DO 1568458040
DR. MORRIS LAMAR BROWN MD 1184608267
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.