JORDAN DAVID SAMTER M.D NPI 1144218363

NPI Information

NPI: 1144218363
Provider Name: JORDAN DAVID SAMTER, M.D
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
10549 N FLORIDA AVE
SUITE B
TAMPA, FL
ZIP 33612
Phone: (813) 978-1522
Get Directions

Jordan David Samter, M.D is a pediatrics in Tampa, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jordan David Samter, M.D NPI is 1144218363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10549 N FLORIDA AVE
SUITE B
TAMPA, FL
ZIP 33612-707
Phone: (813) 978-1522

The enumeration date for this NPI number is 10/11/2005 and was last updated on 1/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME53093	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	193315	OTHER	FLORIDA	HEALTHEASE
2	206926	OTHER	FLORIDA	AMERIGROUP
3	252231400	MEDICAID	FLORIDA
4	9841	OTHER	FLORIDA	BLUE CROSS AND BLUE SHIEL
5	247082	OTHER	FLORIDA	AVMED
6	4950862005	OTHER	FLORIDA	CIGNA
7	G19062	MEDICARE UPIN	FLORIDA
8	193315	OTHER	FLORIDA	STAYWELL
9	2064658	OTHER	FLORIDA	AETNA
10	593618517	OTHER	FLORIDA	UNITED HEALTHCARE
11	593618517	OTHER	FLORIDA	HUMANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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