Samantha Jean (NPI# 1023438512, PAC ID# 1153543160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023438512 |
| PAC ID by PECOS | 1153543160 |
| Professional Enrollment ID | I20170823001067 |
| Full Name | Samantha Jean |
| Organization Legal Name | SUNAPEE INPATIENT SERVICES LLC |
| Address |
21298 Olean Blvd Port Charlotte FL 33952-6705 |
| Phone Number | 9416276130 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0143542936 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100012 | LEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9416276130 | SUNAPEE INPATIENT SERVICES LLC |
| 2315 Aaron St, Port Charlotte, FL 33952-5305 | 9416132222 | MILLENNIUM PHYSICIAN GROUP LLC |
| Organization Legal Name | SUNAPEE INPATIENT SERVICES LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jake Richard Hager | Internal Medicine | Sunapee Inpatient Services LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Janice M Chupka | Physician Assistant | Sunapee Inpatient Services LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Christos C Christolias | Internal Medicine | Sunapee Inpatient Services LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Robert Hull | Internal Medicine | Sunapee Inpatient Services LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Street Address |
21298 OLEAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-6705 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Jean Ozaluk | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Martin Johann Pontasch | Emergency Medicine | Split Mountain Emergency Physicians LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Kouji J Bowser | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Reuben Castro Alimbuyao | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Robert Fisher | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Steven B Goldin | Surgical Oncology | West Florida Physician Network, LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Robert H Causey | Certified Registered Nurse Anesthetist (crna) | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Scott I Watamura | Anesthesiology | Gulf-to-bay Anesthesiology Associates LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Rebecca A Miknaitis | Emergency Medicine | Split Mountain Emergency Physicians LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Christopher L Plaisted | Nurse Practitioner | Fl-i Medical Services LLC | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT CHARLOTTE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.