DAVID J SAMARA (NPI# 1679513477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679513477 |
| Entity Type | Individual |
| Full Name | DAVID J SAMARA |
| Credential | MD |
| Practice Address |
6555 Chester Ave Ste 1 Jacksonville FL 32217-2279 |
| Practice Telephone | 9043096504 |
| Practice Fax Number | 9045033577 |
| Mailing Telephone | 9043096504 |
| Mailing Fax Number | 9045033577 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME31637 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | ME31637 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LIC | ME31637 | 01 |
| FL | 059539000 | 05 | |
| FL | BLUE SHIELD | 15431 | 01 |
| RAILROAD MEDICARE | 340017155 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401174 | David Edward Samara | Pediatrics | 7777 Forest Lane, Bldg. B 300, Dallas, TX 75230-2571 | 2005-07-19 |
| Street Address |
6555 CHESTER AVE STE 1 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366936361 | Leanne Derrico | Nurse Practitioner | 6555 Chester Ave Ste 1, Jacksonville, FL 32217 | 2018-06-22 |
| 1225529761 | Analyn Tesoro | Registered Nurse | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2018-05-21 |
| 1932604063 | Cynthia Priscilla Quinones | Nurse Practitioner | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2018-03-29 |
| 1790284602 | Megan Denee Borden | Nurse Practitioner | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2018-02-06 |
| 1083021679 | Jennifer Hoff | Nurse Practitioner | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2014-07-16 |
| 1336483015 | Molly M King | Physician Assistant | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2012-11-19 |
| 1881938991 | Mirian Antelo Couch | Physician Assistant | 6555 Chester Ave Ste 1, Jacksonville, FL 32217 | 2012-11-15 |
| 1801149984 | Andrea L Hoff | Physician Assistant | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2012-10-26 |
| 1780996892 | Nathan Thilges | Physician Assistant | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2010-07-06 |
| 1336214600 | Anne M Petersen | Physician Assistant | 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306107099 | Baptist Agewell Physicians Inc | Family Medicine | 3563 Philips Hwy Ste 101, Jacksonville, FL 32207 | 2012-05-30 |
| 1316273535 | Zhi Yu, Md, Pllc | Family Medicine | 4221 Stacey Rd E, Jacksonville, FL 32250-2100 | 2009-10-22 |
| 1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
| 1417065236 | Narender D Arcot | Family Medicine | 31 Office Park Dr, Jacksonville, NC 28546-3219 | 2006-08-29 |
| 1518934272 | Leonardo Sison Delrosario | Family Medicine | 225 W Ashley St, Jacksonville, FL 32202-4141 | 2006-03-01 |
| 1770575052 | Belton Craig Ray | Family Medicine | 2627 Riverside Ave, Jacksonville, FL 32204-4712 | 2005-08-22 |
| 1124024310 | Eugene Rawson Griffin IIi | Family Medicine | 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 | 2005-06-22 |
| 1023595105 | Baptist Agewell Physicians Inc | Family Medicine | 841 Prudential Dr Ste 180, Jacksonville, FL 32207-8350 | 2018-07-23 |
| 1679931372 | Jax Visiting Medical Providers LLC | Family Medicine | 9957 Moorings Dr, 204, Jacksonville, FL 32257-2412 | 2016-02-09 |
| 1831534874 | Christina Bungo | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-05-03 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on DAVID J SAMARA.
| 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.