Dr. Samuel Michael Theagene, MD
Dr. Samuel Michael Theagene, MD is a Pain Management in Laurelton, New York. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 36
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
22422 Merrick BlvdLaurelton, NY 11413-2023
Phone: (347) 270-8353
Fax: (347) 826-1917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 194218 (NY) |
|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 194218 (NY) |
Record details
| NPI number | 1518928167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 31, 2006 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
Medicare enrollment
| Medicare specialty | PAIN MANAGEMENT |
|---|---|
| Also practises | PHYSICAL MEDICINE AND REHABILITATION |
| Medical school | OTHER |
| Graduated | 1990 (36 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Laurelton
-
Mrs. Darneth Nadeen Haynes-Williston, PTA
13735 218th St, Laurelton, NY 11413-2240 · (646) 303-1594