Provider Demographics
NPI:1619162781
Name:SAMSA, NATHAN P (DO)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:P
Last Name:SAMSA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3600 KOLBE RD STE 227
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1601
Mailing Address - Country:US
Mailing Address - Phone:440-960-6431
Mailing Address - Fax:440-960-6435
Practice Address - Street 1:3600 KOLBE RD STE 227
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1601
Practice Address - Country:US
Practice Address - Phone:440-960-6431
Practice Address - Fax:440-960-6435
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.009957207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine