DAVID L. SAMUEL, M.D. A PROFFESSIONAL MEDICAL CORPORATION


Address: 233 Saint Ann Dr, Suite 3, Mandeville, LA 70471-3395
Phone: 9856246650

DAVID L. SAMUEL, M.D. A PROFFESSIONAL MEDICAL CORPORATION (NPI# 1497041008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497041008
Entity Type Organization
Organization Name DAVID L. SAMUEL, M.D. A PROFFESSIONAL MEDICAL CORPORATION
Practice Address 233 Saint Ann Dr
Suite 3
Mandeville
LA 70471-3395
Practice Telephone 9856246650
Practice Fax Number 9856743634
Mailing Telephone 9856246650
Mailing Fax Number 9856743634
Enumeration Date 2011-06-22
Last Update Date 2011-06-22
Authorized Official Name DR. DAVID L SAMUEL (M.D.)
Authorized Official Telephone 9856246650
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
10711R LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1991562 05

Office Location

Street Address 233 SAINT ANN DR
SUITE 3
City MANDEVILLE
State LA
Zip Code 70471-3395

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043211592 Amedisys Hospice, LLC Hospice Care, Community Based 233 Saint Ann Dr, Suite 2, Mandeville, LA 70471-3395 2005-08-09
1194805358 David Lloyd Samuel Urology 233 Saint Ann Dr, Suite 3, Mandeville, LA 70471-3395 2006-10-16

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NPI Name Taxonomy Address Enumeration
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1578935136 Vanessa Hadden Social Worker 600 Mariners Plaza, Mandeville, LA 70471 2015-10-22
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1649709452 Guste Plastic and Reconstructive Surgery, LLC Clinic/Center 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 2017-06-06
1508227604 Acadiana Allergy, Asthma and Immunology Center, LLC Clinic/Center 300 Rue Beauregard Ste F, Lafayette, LA 70508 2016-03-16
1215398631 Stonewall Eye Care Clinic/Center 2434 Highway 171, Stonewall, LA 71078-9420 2016-03-11
1306273511 Va Culotta Jr Md LLC Clinic/Center 4420 Conlin St., Ste 300, Metairie, LA 70006 2013-10-02
1306109350 Active Spine Care LLC Clinic/Center 8108 Picardy Ave Ste E, Baton Rouge, LA 70809-3514 2012-06-22
1003183047 Clear Imaging LLC Clinic/Center 1241a 7th St, Slidell, LA 70458-2041 2011-11-18
1295064004 Cynthia A. Williams, A.p.m.c. Clinic/Center 3555 Loyola Dr, Kenner, LA 70065-7706 2009-12-08
1205075256 Peter Hertzak M.d. Pmc Clinic/Center 985 Robert Blvd Ste 102, Slidell, LA 70458-2063 2009-02-16
1215191903 Myriam D Hutchinson Md Clinic/Center 104 N. Hospital Dr., Abbeville, LA 70510-4039 2008-07-11
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Competitor

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City MANDEVILLE
Zip Code 70471

Improve Information

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Dataset Information

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.

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