Shaun L Samuels (NPI# 1265414320, PAC ID# 5698735843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1265414320 |
| PAC ID by PECOS | 5698735843 |
| Professional Enrollment ID | I20041013000258 |
| Full Name | Shaun L Samuels |
| Organization Legal Name | MORI BEAN AND BROOKS, INC |
| Address |
3599 University Blvd S Suite 300 Jacksonville FL 32216-4245 |
| Phone Number | 9043995550 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8820077878 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100025 | SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 | 9043995550 | MORI BEAN AND BROOKS, INC |
| Organization Legal Name | MORI BEAN AND BROOKS, INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Elizabeth Spata | Nurse Practitioner | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Daniel Roura | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3817 N 50th Pl, Phoenix, AZ 85018-6112 |
| Kenneth Albert Terhaar | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Kian Lahiji | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| David Christopher Ratliff | Interventional Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Sandeep K Garg | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Jacob J Scheibal | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Jessica L. Misiti | Nurse Practitioner | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Seth Crapp | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Craig A Ingermann | Physician Assistant | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Street Address |
3599 UNIVERSITY BLVD S SUITE 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-4245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Elizabeth Spata | Nurse Practitioner | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Jeffrey H West | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Krishna D Thirumala | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| George Miquel Jr. | Urology | 3599 University Blvd S, Suite 505, Jacksonville, FL 32216-4256 | |
| Kenneth Albert Terhaar | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| David Christopher Ratliff | Interventional Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Amer Shahla | Internal Medicine | Shahla Medical Associates Pa | 3599 University Blvd S, Jacksonville, FL 32216-4252 |
| Lewis J Obi Sr. | Plastic and Reconstructive Surgery | 3599 University Blvd S, Suite 604, Jacksonville, FL 32216-4234 | |
| Sandeep K Garg | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Jacob J Scheibal | Diagnostic Radiology | Mori Bean and Brooks, Inc | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | JACKSONVILLE + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Shaun L Samuels.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.