DR. PRINCE D SAMUEL (NPI# 1295730299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295730299 |
| Entity Type | Individual |
| Full Name | DR. PRINCE D SAMUEL |
| Credential | MD |
| Practice Address |
4221 Washington Ave Evansville IN 47714-0675 |
| Practice Telephone | 8124766500 |
| Practice Fax Number | 8124766507 |
| Mailing Telephone | 8124766500 |
| Mailing Fax Number | 8124766507 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
01057972A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200454280 | 05 |
| Street Address |
4221 WASHINGTON AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841333036 | Vitreo Retinal Center PC | Ophthalmology | 4221 Washington Ave, Evansville, IN 47714 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164493011 | Theodore Jere Stransky | Ophthalmology | 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637075 | Madison Eye Center LLC | Ophthalmology | 601 Broadway St, Madison, IN 47250-3362 | 2018-01-26 |
| 1093999609 | Retina & Vitreous L L C | Ophthalmology | 53822 Generations Drive, South Bend, IN 46635-1543 | 2007-12-19 |
| 1902800493 | Ramana S Moorthy | Ophthalmology | 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 | 2005-06-13 |
| 1770585838 | Thomas Anthony Ciulla | Ophthalmology | 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 | 2005-06-02 |
| 1851840599 | Highland Retina Associates, LLC | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | 2016-09-22 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1043579550 | Midwest Eye Consultants, P.C. | Ophthalmology | 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 | 2012-05-04 |
| 1033478540 | Midwest Eye Consultants, P.C. | Ophthalmology | 1601 W Lincoln Rd, Kokomo, IN 46902-3275 | 2012-05-04 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.