Provider Demographics
NPI:1841268901
Name:SAMS, TRISHA MARIE (MD)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:SAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:MARIE
Other - Last Name:RAGLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:250 N COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2248
Mailing Address - Country:US
Mailing Address - Phone:402-643-4800
Mailing Address - Fax:402-646-4635
Practice Address - Street 1:100 4TH ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NE
Practice Address - Zip Code:68456-6016
Practice Address - Country:US
Practice Address - Phone:402-534-2081
Practice Address - Fax:402-534-2187
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35671207Q00000X
NE21508207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1445478Medicaid
H59649Medicare UPIN
IAI12997Medicare ID - Type Unspecified
NE281232Medicare PIN