DR. SAMUEL E PERKINS JR. (NPI# 1780738765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780738765 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL E PERKINS JR. |
| Credential | MD |
| Practice Address |
1340 S 18th St Suite 104 Fernandina Beach FL 32034-4733 |
| Mailing Address |
11945 San Jose Blvd. Bldg 300 Jacksonville FL 32223-1627 |
| Practice Telephone | 9042773277 |
| Practice Fax Number | 9042773611 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043991717 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME 98802 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 046209 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000960242A | 05 | |
| FL | CIGNA | 8997131 | 01 |
| FL | AETNA | 7621418 | 01 |
| FL | BCBS | 78270 | 01 |
| FL | AVMED | 310129 | 01 |
| FL | 278432700 | 05 |
| Street Address |
1340 S 18TH ST SUITE 104 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501571 | Edward Dominick Tribuzio | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2006-01-05 |
| 1972901866 | Erin Weems | Physician Assistant | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034 | 2014-12-09 |
| 1073886065 | Baptist Cardiology, Inc. | Internal Medicine | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034-4799 | 2012-02-22 |
| 1891063509 | Edward D. Tribuzio, M.d., P.a. | Family Medicine | 1340 S 18th St, Suite 204, Fernandina Beach, FL 32034-4799 | 2011-12-08 |
| 1962704569 | Jessie Freeh Hiott | Physician Assistant | 1340 S 18th St, Building A, Suite 200, Fernandina Beach, FL 32034-4799 | 2010-12-02 |
| 1952582660 | Sammy Perkins Md PC | Surgery | 1340 S 18th St, Suite 104, Fernandina Beach, FL 32034-4799 | 2007-11-21 |
| 1477761625 | Bruce S. West | Clinic/Center | 1340 S 18th St, Ste. 203, Fernandina Beach, FL 32034-4799 | 2007-05-20 |
| 1952325763 | Susan W Llarena | Physician Assistant | 1340 S 18th St, #204, Fernandina Beach, FL 32034-4799 | 2006-07-26 |
| 1134145659 | Ackerman Cancer Center, P.a. | Radiology | 1340 S 18th St, Suite 103, Fernandina Beach, FL 32034-4799 | 2006-07-15 |
| 1588632780 | Bruce Stewart West | Pediatrics | 1340 S 18th St, #203, Fernandina Beach, FL 32034-4799 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003955113 | Gabor Kovacs | Surgery | 2334 S 8th St, Fernandina Beach, FL 32034-1979 | 2007-02-05 |
| 1588749477 | Rebecca Ross Welch | Surgery | 96352 Piedmont Dr, Fernandina Beach, FL 32034-8168 | 2006-10-26 |
| 1578551032 | Yash Pal Sangwan | Surgery | 1411 S 14th St, Ste C, Fernandina Beach, FL 32034-3031 | 2005-10-10 |
| 1396257242 | Vein Care Center of Amelia Island LLC | Surgery | 2334 S 8th St, Fernandina Beach, FL 32034-1979 | 2017-11-01 |
| 1952582660 | Sammy Perkins Md PC | Surgery | 1340 S 18th St, Suite 104, Fernandina Beach, FL 32034-4799 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
Please comment or provide details below to improve the information on DR. SAMUEL E PERKINS JR..
| 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.