DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMUEL MICHAEL THEAGENE MD

MEDICARE: DR. SAMUEL MICHAEL THEAGENE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician194218NY
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician194218NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G400043923OTHERNYPTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518928167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL MICHAEL THEAGENE MD
Provider Business Mailing Address
First Line : 22422 MERRICK BLVD
Second Line :
City : LAURELTON
State : NY
Zip : 11413-2023
Country : US
Telephone Number : 347-270-8353
Fax Number : 347-826-1917
Provider Business Practice Location Address
First Line : 22422 MERRICK BLVD
Second Line :
City : LAURELTON
State : NY
Zip : 11413-2023
Country : US
Telephone Number : 347-270-8353
Fax Number : 347-826-1917
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 03/04/2024

Similar Medicare Providers

1902216229 — LAURELTON MEDICAL PHYSICIANS PLLC
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-949-6433
Practice Fax: 718-949-0331
1467435271 — DR. ANTONIO JOSEPH JR. M.D.,
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-949-6433
Practice Fax: 718-949-0331
1003928987 — LIONEL EMANUEL DESROCHES M.D.
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-949-6433
Practice Fax: 718-949-0331
1962574418 — SAMUEL BOATENG AKUOKU M.D
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-949-6433
Practice Fax: 718-949-0331
1851452023 — ISLAND MUSCULOSKELETAL CARE, M.D., P.C
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-850-6577
Practice Fax: 718-850-6581
1013070366 — SAMUEL AKUOKU PHYSICIAN PC
Practice Location Address:
22414 MERRICK BLVD
LAURELTON, NY
11413-2023
Practice Phone: 718-949-6433
Practice Fax: 718-949-0331

Directions to “ DR. SAMUEL MICHAEL THEAGENE MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.