DR. JAMES SAMUEL (NPI# 1104949635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104949635 |
| Entity Type | Individual |
| Full Name | DR. JAMES SAMUEL |
| Credential | M.D. |
| Practice Address |
8400 Washington Ave Mount Pleasant WI 53406-3735 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 2628844088 |
| Practice Fax Number | 2628844078 |
| Mailing Telephone | 4143892338 |
| Mailing Fax Number | 4143858987 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036126828 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 53694 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-126828 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 53694-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100012273 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7505 Grand Ave, Gurnee, IL 600311551 | 8472458448 | 8472457070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274449 | James Samuel | Pharmacist | 1320 W Mcdermott Dr, Allen, TX 75013-2844 | 2020-01-15 |
| 1457347023 | James Samuel | Internal Medicine | 40 Cross St, 4th Fl, Norwalk, CT 06851-4647 | 2005-09-20 |
| Street Address |
8400 WASHINGTON AVE |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53406-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396775466 | Michael G Manske | Emergency Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2006-07-04 |
| 1922628858 | Daniel Blonsky | Pharmacist | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2020-04-21 |
| 1194250597 | Victoria C Quinn | Family Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2017-04-24 |
| 1922549872 | Samad B Farooqi | Family Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2017-03-12 |
| 1972048049 | Barbara Vanpatten | Registered Nurse | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2016-12-28 |
| 1013366608 | Allison Marie Blonski | Pediatrics | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2016-06-06 |
| 1619374592 | Elizabeth J Henry | Nurse Practitioner | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2014-11-20 |
| 1760897912 | Nicholas Pryomski | Family Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2014-06-26 |
| 1043638083 | Amy P Kelly | Family Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2014-04-06 |
| 1023458171 | Priya Ramdass | Family Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2013-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533789 | Smith Family Md, Inc | Family Medicine | 990 Lake Hunter Cir Ste 101a, Mount Pleasant, SC 29464-5426 | 2019-11-26 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1386168680 | Esposito Medical Associates Ltd | Family Medicine | 599 N Church St Ste 200, Mount Pleasant, PA 15666-1004 | 2017-07-28 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1316349764 | Amg Crockett LLC | Family Medicine | 4955 Highway 43 N, Mount Pleasant, TN 38474-5010 | 2014-09-17 |
| 1669743357 | Carolina Family Care | Family Medicine | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2012-01-26 |
| 1538458401 | Jennifer Lo | Family Medicine | 8400 Washington Ave Ste 105, Mount Pleasant, WI 53406-3735 | 2011-03-31 |
| 1114184124 | Milad Ishak Shaker | Family Medicine | 308 Bessemer Rd, Suite 100, Mount Pleasant, PA 15666-9134 | 2008-05-19 |
| 1487820718 | Christy L. Cone | Family Medicine | 710 Johnnie Dodds Blvd Ste 315, Mount Pleasant, SC 29464-3045 | 2008-05-06 |
| 1952470965 | Justin James Woods | Family Medicine | 5401 Spring St, Mount Pleasant, WI 53406-2911 | 2006-11-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
Please comment or provide details below to improve the information on DR. JAMES SAMUEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.