JOHN C SAMUEL (NPI# 1205939865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205939865 |
| Entity Type | Individual |
| Full Name | JOHN C SAMUEL |
| Credential | MD |
| Practice Address |
333 Cedar Street Lmp4085 Department of Pediatrics New Haven CT 06520-8064 |
| Mailing Address |
333 Cedar Street-lmp4085 P.o.box 208064 Department of Pediatrics New Haven CT 06520-8064 |
| Practice Telephone | 2037856668 |
| Practice Fax Number | 2037856925 |
| Mailing Telephone | 2037856668 |
| Mailing Fax Number | 2037856925 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 047046 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00575388 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790031094 | John Mina Samuel | Pharmacist | 301 Route 304 Ste 4, Bardonia, NY 10954-2146 | 2012-07-24 |
| 1053574509 | John Sanil Samuel | Internal Medicine | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2008-07-04 |
| 1215096714 | John Samuel | Physician Assistant | 234 E 149th St, Bronx, NY 10451-5504 | 2006-12-08 |
| Street Address |
333 CEDAR STREET LMP4085 DEPARTMENT OF PEDIATRICS |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881124626 | Kathryn Elliott Nagel | Student in an Organized Health Care Education/Training Program | 15 York Street, Lmp 1091b, Ynhh - Im Pediatrics, New Haven, CT 06520 | 2017-06-14 |
| 1013399666 | Cosman Camilo Mandujano | Student in an Organized Health Care Education/Training Program | 330 Cedar Street Ynhh, Department of Surgery, New Haven, CT 06520 | 2015-06-19 |
| 1457619751 | Andrew Philip Notarianni | Anesthesiology | 333 Cedar St., Tompkins 3, Yusm Department of Anesthesiology, New Haven, CT 06520 | 2012-04-25 |
| 1619254992 | Deniz Balci | Student in an Organized Health Care Education/Training Program | Ankara Universitesi Ibni Sina Hastanesi, Genel Cerrahi Ad. Sihhiye, Ankara, ANKARA 06520 | 2011-11-15 |
| 1427333244 | Alexander Goehler | Radiology | 333 Cedar Steet, Yale New Haven Hospital, New Haven, CT 06520 | 2011-10-12 |
| 1841529575 | Maison Chen | Radiology | 333 Cedar St, Te2, Yale Dx Radiology, New Haven, CT 06520 | 2009-12-08 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1851566228 | Arianne Jeaneve Boylan | Neurological Surgery | Yale Department of Neurosurgery, 333 Cedar Street, New Haven, CT 06520 | 2008-04-28 |
| 1679757629 | William Gee Chang | Internal Medicine | Bb114 330 Cedar St, Yale Nephrology, New Haven, CT 06520 | 2007-12-27 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| Find all providers in zip 06520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225322456 | Matthew Drago | Pediatrics | 1 Park St # Wp4, New Haven, CT 06504-8901 | 2011-06-06 |
| 1497082648 | Jason Henry Greenberg | Pediatrics | 15 W Rock Ave, New Haven, CT 06515-2218 | 2009-11-09 |
| 1841428406 | Angela M Montgomery | Pediatrics | 20 York St # Wp493, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-06-22 |
| 1538396353 | Erin A Nozetz | Pediatrics | 20 York St # T209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-06-18 |
| 1891933727 | Lawrence Tse Siew | Pediatrics | 100 York St Ste 1f, New Haven, CT 06511-5664 | 2009-01-30 |
| 1750548848 | Dean Yimlamai | Pediatrics | 333 Cedar St # 4093, New Haven, CT 06510-3206 | 2008-05-18 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1376720961 | Adam Kenneth Berkwitt | Pediatrics | 20 York St, T209, Yale New Haven Hospital, New Haven, CT 06510 | 2008-01-25 |
| 1780885871 | Lindsay Callahan Johnston | Pediatrics | 333 Cedar St, Wp 493 Box 208064, Yale University, Dept. of Pediatrics, Neonatology, New Haven, CT 06520-8064 | 2007-05-29 |
| 1245328335 | Nancy Monestime-williams | Pediatrics | 646 Quinnipiac Ave, New Haven, CT 06513-4003 | 2006-10-11 |
| Find all providers in NEW HAVEN | ||||
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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.