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General NPI Number Information
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NPI Number | 1376506410
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Entity Type | Individual
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Provider Name | SAMUEL ANTHONY NAMEY DO
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 158 WEST MAIN STREET
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City | CONNEAUT
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State | OH
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Zip | 44030
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Country | US
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Telephone | 440-593-1131
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Fax | 330-656-5901
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Provider Business Mailing Address
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Address Line | 5700 DARROW RD SUITE 106
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City | HUDSON
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State | OH
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Zip | 44236-5021
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Country | US
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Telephone | 330-656-9304
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Fax | 330-656-5901
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34004038
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License Number State | OH
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