JAY K SAMAK (NPI# 1922593367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922593367 |
| Entity Type | Individual |
| Full Name | JAY K SAMAK |
| Credential | PA-C |
| Practice Address |
4435 Us Highway 98 N Lakeland FL 33809 |
| Mailing Address |
4435 Us Highway 98 N Lakeland FL 33809-0402 |
| Practice Telephone | 8638588000 |
| Mailing Telephone | 8638588000 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-08068 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA9111308 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Magnolia Ave, Auburndale, FL 338234201 | 8638588000 | |
| 1045 Us Highway 17 S, Bartow, FL 338306027 | 8638588000 | |
| 1429 Lakeland Hills Blvd, Lakeland, FL 338053206 | 8636870200 | |
| 3810 S Florida Ave, Lakeland, FL 338131105 | 8636195100 | |
| 602 Us Highway 17 92 N, Haines City, FL 338449461 | 8638588000 | |
| 700 1st St S, Winter Haven, FL 338803605 | 8638588000 |
| Street Address |
4435 US HIGHWAY 98 N |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316224033 | Doctor Today Urgent Care LLC | Clinic/Center | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2011-11-09 |
| 1730744350 | Sandra Lee Collier | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2019-05-08 |
| 1063998631 | Julie Shaju | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2018-07-17 |
| 1710495189 | Michael Verdul | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2018-01-18 |
| 1467961094 | Jishamol Paul | Nurse Practitioner | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2017-09-27 |
| 1710381223 | Doctortoday Tlc,llc | Pharmacy | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2014-10-13 |
| 1669875670 | Esdra Jean Baptiste | General Practice | 4435 Us Highway 98 N, Suit B, Lakeland, FL 33809-0402 | 2014-10-03 |
| 1447675657 | Stanislav Chavik | General Practice | 4435 Us Highway 98 N, Lakeland, FL 33809-0402 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483619 | Melodey Aguirre | Physician Assistant | 3810 S Florida Ave Ste 120, Lakeland, FL 33813-1129 | 2020-09-24 |
| 1093321580 | Alison Palmer | Physician Assistant | 409 Aberdeen Ct N, Lakeland, FL 33813-1602 | 2020-09-20 |
| 1205448792 | Aditi Patel | Physician Assistant | 2151 Southern Oaks Ln, Lakeland, FL 33813-3197 | 2020-08-18 |
| 1780151605 | Leah Marie Carroll | Physician Assistant | 5216 Scotland Pl, Lakeland, FL 33813-3063 | 2018-10-29 |
| 1205327046 | Deniz Nebi | Physician Assistant | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2018-05-29 |
| 1568962017 | Gabriela Victoria Gamero | Physician Assistant | 6500 N Socrum Loop Rd # 100, Lakeland, FL 33809-4179 | 2018-02-20 |
| 1861845356 | Bethany Buisson | Physician Assistant | 9160 Highway 64 Ste 105, Lakeland, TN 38002-3011 | 2016-07-19 |
| 1841691136 | Colleen Morrison | Physician Assistant | 1610 Clarendon Ave, Lakeland, FL 33803-2506 | 2014-09-06 |
| 1003176322 | Nathaly Antigua Suarez | Physician Assistant | 1157 Thomasville Cir, Lakeland, FL 33811-3400 | 2012-05-21 |
| 1205126190 | Megan Marie Wagner | Physician Assistant | 4700 Research Way, Lakeland, FL 33805-8531 | 2011-04-12 |
| Find all providers in LAKELAND | ||||
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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.