MR. SAMUEL EDWARD WARD (NPI# 1982661757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982661757 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL EDWARD WARD |
| Credential | MD |
| Practice Address |
1410 Brickyard Rd Chipley FL 32428 |
| Practice Telephone | 8506383400 |
| Practice Fax Number | 8506389611 |
| Mailing Telephone | 8506383400 |
| Mailing Fax Number | 8506389611 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME78849 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258988500 | 05 | |
| FL | BLUE SHIELD | 35511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063975225 | Samuel Enoch Ward | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2019-04-12 |
| 1881129021 | Samuel Ward | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28532 | 2017-04-25 |
| 1508844267 | Samuel R Ward Jr. | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-04 |
| Street Address |
1410 BRICKYARD RD |
| City | CHIPLEY |
| State | FL |
| Zip Code | 32428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1598272650 | Northwest Florida Healthcare, Inc. | Clinic/Center | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2018-01-10 |
| 1114217221 | Zachary William Dickson | Nurse Practitioner | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2011-04-10 |
| 1811215130 | Dermatology Associates | Dermatology | 1410 Brickyard Rd, Chipley, FL 32428-5966 | 2010-05-11 |
| 1396997193 | Jeffery Thomas Horton | Nurse Practitioner | 1410 Brickyard Rd, Chipley, Chipley, FL 32428-5966 | 2008-10-13 |
| 1124117809 | Belinda Gail Parker Mcrae | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-10-12 |
| 1003907957 | Lori Dawn Edenfield | Nurse Practitioner | 1410 Brickyard Rd, Samuel E Ward Md Pl, Chipley, FL 32428 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245590918 | Restore Therapy and Wellness, Inc. | Clinic/Center | 877 Third Street, Suite 1, Chipley, FL 32428 | 2012-05-29 |
| 1851470827 | Washington County School Board | Local Education Agency (LEA) | 652 3rd Street, Chipley, FL 32428 | 2006-11-02 |
| 1578659769 | Arthur Clayton Zediker | Dentist | 5016 Pine Ridge Dr, Chipley, FL 32428 | 2006-10-05 |
| 1528159480 | Teresa Lynn Seay | Nurse Practitioner | 1351 South Blvd, Chipley, FL 32428 | 2006-09-27 |
| 1386753044 | Jack Rogers Taylor | Dentist | 843 Hwy 277, Chipley, FL 32428 | 2006-08-29 |
| 1992818447 | William Edwin Cox IIi | Dentist | 699 2nd St, Chipley, FL 32428 | 2006-08-17 |
| 1407309867 | Doris M Roberts | Nurse Practitioner | 4455 Sam Mitchell Dr, Chipley, FL 32428 | 2016-08-02 |
| 1114017548 | Robert W Snare Md Pa | General Practice | 1187 Main St, Ste 3, Chipley, FL 32428 | 2006-10-14 |
| 1174700397 | Taylor Chiropractic Corp | Chiropractor | 682 5th St, Chipley, FL 32428-1430 | 2008-01-30 |
| 1649206954 | Life Management Center of Northwest Florida, Inc. | Counselor | 686 5th St, Chipley, FL 32428-1430 | 2006-06-26 |
| Find all providers in zip 32428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518077635 | Greg Keith Sloan | Family Medicine | 925 Carlisle Rd, Chipley, FL 32428-4360 | 2006-08-30 |
| 1689627887 | Wade H Melvin | Family Medicine | 1414 Main St, Suite 4, Chipley, FL 32428-6952 | 2006-05-18 |
| 1255319695 | Samuel E Ward Md Pl | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-01-05 |
| 1326318908 | Norma B Gilo | Family Medicine | 4455 Sam Mitchell Dr, Chipley, FL 32428-3501 | 2012-01-12 |
| 1326378282 | Panhandle Family Medicine, Pa | Family Medicine | 877 3rd St, Suite 4, Chipley, FL 32428-1827 | 2009-12-28 |
| 1215104526 | Nathanael L Hawkins | Family Medicine | 1360 Brickyard Rd, Chipley, FL 32428-6303 | 2008-05-15 |
| 1629122148 | Family Care Associates of Nw Florida | Family Medicine | 925 Carlisle Rd, Chipley, FL 32428-4360 | 2007-01-22 |
| 1184647810 | Annette Griffin Porter | Family Medicine | 1376 Brickyard Rd, Suite 4, Chipley, FL 32428-6391 | 2006-07-25 |
| 1245251487 | Panhandle Family Medicine Pa | Family Medicine | 877 3rd St, Suite 4, Chipley, FL 32428-1827 | 2006-07-22 |
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| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1902407455 | Trek Healthcare LLC | Family Medicine | 11767 S Dixie Hwy # 208, Pinecrest, FL 33156-4438 | 2020-11-02 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1033718986 | Jason Wittlin | Family Medicine | 601 Sw 242nd Ter, Newberry, FL 32669-4495 | 2020-10-21 |
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.