Individual
JEROME M SAMPSON
Active
Individual
JEROME M SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4703
ND
2085R0202X
Diagnostic Radiology Physician
Primary
4703
ND
2085R0204X
Vascular & Interventional Radiology Physician
4703
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14146
—
ND
01
—
1600852
MEDICA FGO #
ND
01
—
1600853
MEDICA INN #
ND
05
—
634208600
—
ND
01
—
676650
ARAZ #
ND
01
—
91427SA
MNBS #
ND
01
—
9258
SIOUX VALLEY PROV #
ND
01
—
974
NDBS #
ND
01
—
DA9011015581
PREF 1 #
ND
01
—
HP25764
HEALTHPARTNERS #
ND
Enumeration date
06/26/2006
Last updated
07/18/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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