JASON SAMUEL CHARTERED NPI 1629143342

NPI Information

  • NPI: 1629143342
  • Provider Name: JASON SAMUEL CHARTERED
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 110 THIRD ST
    SUITE 310
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 826-1266

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NPI Details

JASON SAMUEL CHARTERED 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. JASON SAMUEL CHARTERED NPI is 1629143342. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

The provider's authorized official is Jason T Samuel .
The authorized official title is President and has the following contact phone number (270) 826-1266.

The enumeration date for this NPI number is 11/21/2006 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
1207R00000XInternal MedicineNo
2207RG0100XInternal MedicineGastroenterologyYes

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
17100038670MEDICAIDKENTUCKY
200476MEDICARE PINKENTUCKY
3200893090AMEDICAIDINDIANA
4848040MEDICARE PININDIANA

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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