DR. ERIC SCOTT SAMUELS (NPI# 1023662335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023662335 |
| Entity Type | Individual |
| Full Name | DR. ERIC SCOTT SAMUELS |
| Credential | DMD |
| Practice Address |
1647 Admiral Taussig Blvd Norfolk VA 23511-2803 |
| Mailing Address |
800 Graydon Ave Apt B2 Norfolk VA 23507-1531 |
| Practice Telephone | 7578439581 |
| Mailing Telephone | 5049051394 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 0401416550 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891079661 | Eric Abraham Samuels | Psychologist | 1639 Aqua Vista Rd, Richmond, CA 94805-2028 | 2011-09-28 |
| Street Address |
1647 ADMIRAL TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407775 | David A. Glass | Dentist | 1647 Admiral Taussig Blvd, Naval Dental Clinic, Norfolk, VA 23511-2803 | 2005-06-17 |
| 1386258564 | Ryan Huo | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-03 |
| 1699389312 | Stephen Shimp | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1053925776 | Emil Alex Berkovich | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1265043749 | Raymond Gozon | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-10 |
| 1427668789 | Travis Lee Hediger | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-03 |
| 1609485341 | Samer S. Gazale | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-29 |
| 1962011213 | Courtney Haron | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-23 |
| 1942818281 | Zachery J Pommer | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
| 1487262739 | Kristina Chang | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
| 1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
| 1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
| 1093913402 | Edgar Omar Rodriguez | Military Health Care Provider | Uss Bataan Lhd-5, Fpo Ae, Norfolk, VA 09554-1657 | 2007-07-06 |
| 1972664753 | Gerald Raymond Turner | Military Health Care Provider | 300 East Main, Suite 1000, Norfolk, VA 23510 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
| 1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
| 1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
| 1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
| 1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
| 1548469851 | Jose E Sanchez Norat | Military Health Care Provider | 2909 Mimosa Ct, Virginia Beach, VA 23453-7053 | 2007-07-16 |
| 1083714323 | Jesse Deluca | Military Health Care Provider | 850 N Randolph St, 632, Arlington, VA 22203-1978 | 2006-09-25 |
| 1346262441 | Aizenhawar J Marrogi | Military Health Care Provider | 6736 Curran St Ste 1, Mc Lean, VA 22101-3803 | 2006-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.