JASON MICHAEL SAMUELIAN (NPI# 1790005197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790005197 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL SAMUELIAN |
| Credential | D.O. |
| Practice Address |
14155 N 83rd Ave Peoria AZ 85381-5639 |
| Practice Telephone | 6237732873 |
| Practice Fax Number | 6234144922 |
| Mailing Telephone | 6237732873 |
| Mailing Fax Number | 6234144922 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | R1783 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
006651 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
14155 N 83RD AVE |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600884 | North Valley Dermatology LLC | Dermatology | 14155 N 83rd Ave, Suite 110, Peoria, AZ 85381-5639 | 2005-12-15 |
| 1134753312 | Terri L Payne | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2020-02-27 |
| 1932608106 | Star Clinic LLC | Anesthesiology | 14155 N 83rd Ave, Building 6, Peoria, AZ 85381 | 2018-02-02 |
| 1770034597 | Francesca Baile | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2016-10-17 |
| 1518347285 | Christina Celestino | Nurse Practitioner | 14155 N 83rd Ave, Ste 127, Peoria, AZ 85381-5639 | 2015-06-08 |
| 1962818633 | Cody Heslington | Dentist | 14155 N 83rd Ave, Suite 7-141, Peoria, AZ 85381-5639 | 2014-07-02 |
| 1235559600 | Sara Lindebak | Nurse Practitioner | 14155 N 83rd Ave, Ste # 127, Peoria, AZ 85381-5639 | 2014-04-23 |
| 1144667411 | Michael Thomas Morgan | Physical Therapist | 14155 N 83rd Ave, #148, Peoria, AZ 85381-5639 | 2013-05-28 |
| 1609127398 | Eryn Leigh Berry | Registered Nurse | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5639 | 2012-09-21 |
| 1972868677 | Stephanie Marie Wilson | Nurse Practitioner | 14155 N 83rd Ave, Peoria, AZ 85381-5639 | 2012-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346668514 | Ashley Ann Albert | Radiology | 14155 N 83rd Ave Ste 127, Peoria, AZ 85381-5652 | 2014-04-03 |
| 1952420671 | Candace Correa | Radiology | 221 Ne Glen Oak Ave, Peoria, IL 61636-3813 | 2007-03-28 |
| 1205844602 | Anthony C. Zalduendo | Radiology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-08-03 |
| 1245244862 | James L. Mcgee | Radiology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-07-28 |
| 1841234929 | Revathi Swaminathan | Radiology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2006-06-16 |
| 1003857061 | Central Illinois Radiation Oncology Physicians, Ltd | Radiology | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2006-06-09 |
| 1295785632 | Saint Francis Medical Center | Radiology | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2006-05-10 |
| 1255395463 | Terry T Lee | Radiology | 14155 N 83rd Ave, Suite 127, Peoria, AZ 85381-5639 | 2006-04-14 |
| 1669447504 | William H Dunn | Radiology | 530 Ne Glen Oak Ave, Peoria, IL 61637-6163 | 2006-02-22 |
| 1043298334 | Matthew Trent Carpenter | Radiology | 221 Ne Glen Oak Ave, Department of Radiation Oncology, Peoria, IL 61636-0001 | 2006-01-06 |
| Find all providers in PEORIA | ||||
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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.