DR. JASON T SAMUEL (NPI# 1285820852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285820852 |
| Entity Type | Individual |
| Full Name | DR. JASON T SAMUEL |
| Credential | M.D. |
| Practice Address |
110 3rd St Suite 310 Henderson KY 42420-2993 |
| Practice Telephone | 2708261266 |
| Practice Fax Number | 2708275385 |
| Mailing Telephone | 2708261266 |
| Mailing Fax Number | 2708275385 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-05-18 |
| NPI Deactivation Date | 04/28/2015 |
| NPI Reactivation Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01034049A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
18556 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64185564 | 05 | |
| IN | 100247420A | 05 |
| Street Address |
110 3RD ST SUITE 310 |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780567 | James Michael Stearns | Ophthalmology | 110 3rd St, Henderson, KY 42420-2993 | 2005-06-16 |
| 1033577812 | Raven Whitney Ray | Nurse Practitioner | 110 3rd St, Suite 180, Henderson, KY 42420-2993 | 2016-02-08 |
| 1346513397 | Virginia Sue Floyd | Pharmacist | 110 3rd St, Henderson, KY 42420-2993 | 2012-02-21 |
| 1508175100 | Henderson First Aid Inc | Internal Medicine | 110 3rd St, Henderson, KY 42420-2993 | 2010-09-29 |
| 1750543088 | Ricardo Andaya Maddela IIi | Surgery | 110 3rd St, Suite 130, Henderson, KY 42420-2993 | 2008-06-27 |
| 1518127638 | Methodist Health, Inc. | Nurse Practitioner | 110 3rd St, Imperial Bldg Suite 250, Henderson, KY 42420-2993 | 2008-06-12 |
| 1679751689 | Charles Hulett Futrell Jr. | Family Medicine | 110 3rd St, Suite 250, Henderson, KY 42420-2993 | 2008-02-01 |
| 1932389590 | Sheryl Lynn Shelton | Nurse Practitioner | 110 3rd St, Suite 180, Henderson, KY 42420-2993 | 2007-11-11 |
| 1730378365 | Bassam Yousef, Md Psc | Internal Medicine | 110 3rd St, Suite 370, Henderson, KY 42420-2993 | 2007-10-19 |
| 1093920662 | Linda K Austin | Specialist/Technologist, Other | 110 3rd St, Suite 130, Henderson, KY 42420-2993 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275785420 | M Mazen Jamal Md PC | Internal Medicine | 10624 S Eastern Ave Ste A-158, Henderson, NV 89052-2982 | 2008-10-21 |
| 1518133206 | D S Banker M D P C | Internal Medicine | 2793 Mingary Ave, Henderson, NV 89044-0238 | 2008-05-02 |
| 1225204910 | Snehal Rohit Desai M D A Professional Corporation | Internal Medicine | 2558 Wild Ambrosia Ave, Henderson, NV 89074-2890 | 2008-05-02 |
| 1982772349 | Rajat Sood Md Ltd | Internal Medicine | 2839 Saint Rose Pkwy, 130, Henderson, NV 89052-4848 | 2006-12-01 |
| 1639242613 | Audubon Gi Psc | Internal Medicine | 1413 North Elm St, Suite 105, Henderson, KY 42420-4266 | 2006-11-16 |
| 1356442271 | Albert Mason | Internal Medicine | 2625 Wigwam Pkwy, Suite #112, Henderson, NV 89074-7325 | 2006-09-25 |
| 1467485409 | Adedayo O Mokuolu | Internal Medicine | 2510 Wigwam Pkwy Ste 102, Henderson, NV 89074-7115 | 2006-07-09 |
| 1346288958 | Bipin M Saud | Internal Medicine | 825 N Gibson Rd Ste 201, Henderson, NV 89011-1708 | 2006-06-04 |
| 1609833540 | Desha Aaron Frankel | Internal Medicine | 1040 Wigwam Pkwy, #110, Henderson, NV 89074-8171 | 2006-04-26 |
| 1578563102 | Arumugam Sivakumar | Internal Medicine | 2637 W Horizon Ridge Pkwy, Ste 140, Henderson, NV 89052-4834 | 2005-07-26 |
| Find all providers in HENDERSON | ||||
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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.