Provider Demographics
NPI:1134150097
Name:SAMMONS, JAMES EMORY JR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EMORY
Last Name:SAMMONS
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:542 W UNION ST
Practice Address - Street 2:SUITE B
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-8305
Practice Address - Country:US
Practice Address - Phone:740-594-4722
Practice Address - Fax:470-594-2432
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH34.006097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167724Medicaid
OH0167724Medicaid
OHSA0806675Medicare ID - Type Unspecified