National Provider Identifier

Timothy Nicholas Glenn Sampson

Timothy Nicholas Glenn Sampson is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1720639305Rochester, NYPhysician Assistant

Profile Overview

NPI
1720639305
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 24, 2019
Last Updated
July 03, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

Endpoints

  • tsampson192855@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1720639305
Entity Type
Individual
Last Name
Sampson
First Name
Timothy
Middle Name
Nicholas Glenn
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
September 24, 2019
Last Updated
July 03, 2023
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 2
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)