Provider Demographics
NPI:1841205499
Name:CLAASSEN, SAMUEL DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:DEAN
Last Name:CLAASSEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 HOSPITAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-2326
Mailing Address - Country:US
Mailing Address - Phone:620-241-7033
Mailing Address - Fax:620-241-5750
Practice Address - Street 1:1000 HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2326
Practice Address - Country:US
Practice Address - Phone:620-241-7033
Practice Address - Fax:620-241-5750
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-18359207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100195900DMedicaid
KSP00166466OtherRAILROAD MEDICARE
KSP00166466OtherRAILROAD MEDICARE
KS104225Medicare ID - Type Unspecified