Samuel K St Clair
Neurosurgeon
4207 Lake Boone Trl Ste 220
Raleigh
, North Carolina 27607-6685
Samuel K St Clair
Neurosurgeon
4207 Lake Boone Trl Ste 220
Raleigh
, North Carolina 27607-6685
(919) 235-0505
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Samuel K St Clair
- 4201 Lake Boone Trl Ste 202
- Raleigh, NC
- Zip : 27607-7512
- Fax : (919) 235-0505
- Phone : (919) 235-0500
Second Address
- Samuel K St Clair
- 4207 Lake Boone Trl Ste 220
- Raleigh, NC
- Zip : 27607-6685
- Phone : (919) 784-1410
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 39097 | NC |
National Provider Identifier
| NPI | 1073588000 |
|---|---|
| Provider Name | Samuel K St Clair |
| First Address | Raleigh, NC 27607-7512 |
| Second Address | Raleigh, NC 27607-6685 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 09/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0650385 | UNITED HEALTHCARE (01) | NC |
| 140006908 | RAILROAD MEDICARE (01) | NC |
| 2070150 | FIRST HEALTH (01) | NC |
| 4063806 | AETNA (01) | NC |
| 56219447701 | TRICARE (01) | NC |
| 706943 | CHOICE CARE NETWORK (01) | NC |
| 79535 | BCBS NC (01) | NC |
| 8979535 | (05) | NC |
| 97486 | MEDCOST (01) | NC |
| B05866 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.