ROBERT CHARLES SAMAC (NPI# 1669772315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772315 |
| Entity Type | Individual |
| Full Name | ROBERT CHARLES SAMAC |
| Credential | CRNP |
| Practice Address |
4725 Mobile Hwy Montgomery AL 36108-5126 |
| Practice Telephone | 3342813665 |
| Mailing Telephone | 3342813665 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-104293 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4725 MOBILE HWY |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36108-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710923198 | Family & Industrial Health Services, Inc. | Clinic/Center | 4725 Mobile Hwy, Montgomery, AL 36108-5126 | 2006-06-22 |
| 1497815625 | Robbie L. Hall | Nurse Practitioner | 4725 Mobile Hwy, Montgomery, AL 36108-5126 | 2006-12-11 |
| 1457380925 | Norman A Garrison Jr. | Emergency Medicine | 4725 Mobile Hwy, Montgomery, AL 36108-5126 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362848 | Avery Chikezie Anaje | Dentist | 3060 Mobile Highway, Montgomery, AL 36108 | 2019-12-02 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1821113465 | St. Jude Catholic Hospital | Skilled Nursing Facility | 1820 Oak Strret, Montgomery, AL 36108 | 2007-03-20 |
| 1467823427 | Yleis Engerman | Counselor | 126 Grovewood Ct, Montgomery, AL 36108-1802 | 2015-10-15 |
| 1699181131 | Debra Lynn Nix | Specialist | 285 Hunter Loop Rd, Montgomery, AL 36108-1822 | 2014-07-04 |
| 1457626111 | Jeremy Romine | Physician Assistant | 3101 Tine Ave, Montgomery, AL 36108-2309 | 2012-03-14 |
| 1548302680 | Pediatric Therapy Services LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2007-02-13 |
| 1578059895 | Communication Awaits LLC | Clinic/Center | 1031 Oak St, Montgomery, AL 36108-2829 | 2018-07-10 |
| 1417229824 | Shundreya George-jefferson | Occupational Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2012-01-31 |
| 1881864940 | Deirdre Cottrell | Physical Therapist | 1031 Oak St, Montgomery, AL 36108-2829 | 2008-03-05 |
| Find all providers in zip 36108 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1376142364 | Melanie Ann Miller | Nurse Practitioner | 4250 Carmichael Ct N, Montgomery, AL 36106-2874 | 2020-10-20 |
| 1174138929 | Andrea Gabrielle Burt | Nurse Practitioner | 1898 Mulberry St, Montgomery, AL 36106-1526 | 2020-09-09 |
| 1205351830 | Jessica Ann Wright | Nurse Practitioner | 5066 N 900 E, Montgomery, IN 47558-5790 | 2017-08-04 |
| 1295150555 | David Robert Trzcinski | Nurse Practitioner | 4465 Narrow Lane Rd, Montgomery, AL 36116-2953 | 2014-02-24 |
| 1457683831 | Joan Elizabeth Ford | Nurse Practitioner | 2611 Woodley Park Dr, Montgomery, AL 36116-3834 | 2010-02-09 |
| 1609055177 | Isaiah Sankey | Nurse Practitioner | 1722 Pine St, Suite 1005, Montgomery, AL 36106-1103 | 2007-10-31 |
| 1841215084 | Sandria Renee Warren | Nurse Practitioner | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765872 | Tracie Diane Lavinsky | Nurse Practitioner | 13025 Alla Dr, Coker, AL 35452-3780 | 2020-09-21 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1457971079 | Lindsay Morris | Nurse Practitioner | 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 | 2020-04-23 |
| 1508492505 | Tiffany Michele Folse | Nurse Practitioner | 9618 Chariot Ave, Fairhope, AL 36532-7412 | 2020-03-21 |
| 1548809239 | Isuan Iriabho | Nurse Practitioner | Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 | 2019-12-30 |
| 1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
| 1104481944 | Deanna Montieth | Nurse Practitioner | 718 Downtowner Loop W, Mobile, AL 36609-5504 | 2019-05-07 |
| 1538622055 | Dana Marie Register | Nurse Practitioner | 11119 S County Road 49, Slocomb, AL 36375-5871 | 2019-04-11 |
| 1396218707 | Christine Wood | Nurse Practitioner | 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 | 2019-01-08 |
| 1780151514 | Mary Virginia Halbrooks | Nurse Practitioner | 1001 Hill St Sw, Hartselle, AL 35640-2801 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36108 |
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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.