Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OM SAM, MD
ActiveOM SAM, MD is a Family Medicine healthcare provider located in SULLIVAN, Missouri. NPI 1457845588 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SULLIVAN, MO
Registration Details
- NPI Number
- 1457845588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2018 (8.0015665263356 yrs)
- Last Updated
- Jul 29, 2021
- License
-
2021026443 (MO)
Practice Information
- Address
-
965 MATTOX DRSULLIVAN, MO, 630802365Browse MO providers · Browse ZIP 63080
- Phone
- 5738606000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SULLIVAN, MO
| Name | Credential | NPI |
|---|---|---|
| MATTHEW J TIEFENBRUNN | M.D. | 1457393712 |
| ARMELA AGASINO | MD | 1467569954 |
| MS. VICKY L GULLEY | D.O. | 1750589024 |
| DR. PATRICIA HINKLE | M.D. | 1023217031 |
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.