SAMUEL A MASON DPM NPI 1801424288

NPI Information

  • NPI: 1801424288
  • Provider Name: SAMUEL A MASON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11834 COUNTY ROAD 101 STE 203
    LADY LAKE, FL
    ZIP 32162
  • Phone: (352) 633-8230

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NPI Details

Samuel A Mason, DPM is a foot and ankle surgery podiatrist in Lady Lake, FL with 6 years of experience. Samuel A Mason, DPM NPI is 1801424288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2020

The provider's business location address is:

11834 COUNTY ROAD 101 STE 203
LADY LAKE, FL
ZIP 32162-340
Phone: (352) 633-8230
Fax: (352) 633-8232

The NPI 1801424288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/31/2020 and was last updated on 7/12/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO4509FLORIDAYes

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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