Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
SAMUEL DAVID FAM
Active
Individual
SAMUEL DAVID FAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1015332
MA
207Q00000X
Family Medicine Physician
Primary
295422
NY
207Q00000X
Family Medicine Physician
87745
GA
207Q00000X
Family Medicine Physician
V1769
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
04/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up