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STEVEN D. SAMPLE JR. CRNA
NPI 1639610330
Anesthesiology - Critical Care Medicine in Orlando, FL

Active since March 14, 2017Accepts Medicare Assignment
225 E ROBINSON ST, SUITE 130, ORLANDO, FL 32801(407) 581-9180(865) 560-7066 Get Directions Write a Review

NPPES record last updated: February 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2017, Mar 14, 2017 (2 updates tracked since 2017).

About Steven D. Sample Jr. Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN D. SAMPLE JR. CRNA (NPI 1639610330) is an individual critical care medicine provider in Orlando, Florida, licensed in Georgia (220350) and active in the NPI registry since March 2017. He is affiliated with Emory University Hospital Midtown and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639610330
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameSTEVEN D. SAMPLE JR.Credential: CRNA
Location Address225 E ROBINSON ST, SUITE 130Orlando, FL 32801-4322
Mailing AddressPo Box 4918Orlando, FL 32802-4918 · (407) 581-9180 · Fax (865) 560-7066
Phone(407) 581-9180
Fax(865) 560-7066
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2017
Last NPPES UpdateFebruary 24, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2024
✔ NPI 1639610330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in GA · 220350
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License ARNP9387609 (FL)
225 E ROBINSON ST, Orlando, FL 32801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Steven D. Sample Jr. Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113204504
PECOS Enrollment IDI20240509001104

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA M. ERICKSON CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE 130
ORLANDO, FL 32801
Orange County (407) 581-9180
SARA DAMIANO CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE #130
ORLANDO, FL 32801
Orange County (407) 581-9180
MARC A. SELIN RN
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE #130
ORLANDO, FL 32801
Orange County (407) 581-9180
CHRISTOPHER J. SISCO CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE 130
ORLANDO, FL 32801
Orange County (407) 581-9180
LAHOMA JOHNSON
Registered Nurse
225 E ROBINSON ST
ORLANDO, FL 32801
Orange County (407) 380-9998
GABRIEL I. MORA-RAMIREZ CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE #130
ORLANDO, FL 32801
Orange County (407) 581-9180
MITCHELL L. RACHMAN CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE 130
ORLANDO, FL 32801
Orange County (407) 581-9180
CHELSEA L. CANTILLI CRNA
Nurse Anesthetist, Certified Registered
225 E ROBINSON ST, SUITE #130
ORLANDO, FL 32801
Orange County (407) 581-9180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Sample's NPI number?

The NPI number for Steven Sample is 1639610330. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Steven Sample located?

Steven Sample practices at 225 E Robinson St Suite 130, Orlando, FL 32801. The listed phone number is (407) 581-9180.

What is Steven Sample's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Steven Sample enrolled in Medicare?

Yes. Steven Sample is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Steven Sample affiliated with any hospitals?

According to CMS data, Steven Sample is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Steven Sample was last updated on February 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.