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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON T SAMUEL, M.D.

Deactivated Sole Proprietor

DR. JASON T SAMUEL, M.D. is a Gastroenterology healthcare provider located in HENDERSON, Kentucky. NPI 1285820852 is deactivated in the NPPES registry. Verify at CMS.

Gastroenterology · HENDERSON, KY

This NPI has been deactivated. The record was deactivated on April 28, 2015. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1285820852
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2007 (7.6082191780822 yrs)
Last Updated
May 18, 2015
Deactivated
Apr 28, 2015
Licenses
18556 (KY)
01034049A (IN)
Sole Proprietor
Yes

Practice Information

Address
110 3RD ST
SUITE 310
HENDERSON, KY, 424202993
Browse KY providers · Browse ZIP 42420
Phone
2708261266
Fax
2708275385
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in HENDERSON, KY

Name Credential NPI
DR. NOEL D CANLAS MD 1548300056
KAREN R CANLAS MD 1518185487
EULA GERALYN PLANA TETANGCO M.D. 1639584014
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.