DR. JASON T SAMUEL M.D. NPI 1285820852

NPI Information

  • NPI: 1285820852
  • Provider Name: DR. JASON T SAMUEL, M.D.
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • Address: 110 3RD ST
    SUITE 310
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 826-1266

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NPI Details

DR. Jason T Samuel, M.D. is a gastroenterology internal medicine in Henderson, KY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Jason T Samuel, M.D. NPI is 1285820852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 3RD ST
SUITE 310
HENDERSON, KY
ZIP 42420-993
Phone: (270) 826-1266
Fax: (270) 827-5385

The enumeration date for this NPI number is 9/18/2007 and was last updated on 5/18/2015.

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
1207RG0100XInternal MedicineGastroenterology01034049AINDIANANo
2207RG0100XInternal MedicineGastroenterology18556KENTUCKYYes

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
1C69554MEDICARE UPIN
2100247420AMEDICAIDINDIANA
3848040AMEDICARE PININDIANA
464185564MEDICAIDKENTUCKY
500476001MEDICARE PINKENTUCKY

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: 11/21/2025

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