SCOTT B. SAMERA, DPM, PA, LLC (NPI# 1386989010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386989010 |
| Entity Type | Organization |
| Organization Name | SCOTT B. SAMERA, DPM, PA, LLC |
| Other Organization Name | SCOTT B. SAMERA, DPM, PA |
| Practice Address |
404 Nw Hall of Fame Dr Lake City FL 32055-4833 |
| Mailing Address |
Po Box 846 Branford FL 32008-0846 |
| Practice Telephone | 3869351093 |
| Mailing Telephone | 3869351093 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | DR. SCOTT BRIAN SAMERA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3869351093 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | SCOTT B. SAMERA, DPM, PA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3510 | FL | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SCOTT B. SAMERA, DPM, PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043591936 | Scott B. Samera, Dpm, Pa, LLC | Podiatrist | 303 Suwannee Ave Nw, Branford, FL 32008-3275 | 2011-09-06 |
| Street Address |
404 NW HALL OF FAME DR |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713727 | Pamela Nichols Robinson | Nurse Anesthetist, Certified Registered | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2005-10-07 |
| 1902466881 | Samantha Andersen Smythe | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-06-13 |
| 1063975175 | Cardiovascular Center of America | Surgery | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2019-04-08 |
| 1851808224 | Cassie Ebert | Internal Medicine | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2018-01-06 |
| 1053851451 | Elaina Williamson | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-03-03 |
| 1457899577 | Jordan Cunningham | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2017-02-09 |
| 1013303254 | Therapycare Home Health LLC | Home Health | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2015-04-14 |
| 1437553161 | Bryce Catarelli | Nurse Practitioner | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2014-10-09 |
| 1477982882 | Brandon Johnson | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-11-06 |
| 1568890663 | Brian Sganga | Physical Therapy Assistant | 404 Nw Hall of Fame Dr, Lake City, FL 32055-4833 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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| 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.