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DR. SAMUEL JOSEPH PA-C MD NPI 1588288203


NPI Information

NPI: 1588288203
Provider Name: DR. SAMUEL JOSEPH, PA-C, MD
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4601 N HIGHWAY 19A
MOUNT DORA, FL
ZIP 32757
Phone: (352) 602-7924
Get Directions

DR. Samuel Joseph, PA-C, MD is a physician assistant in Mount Dora, FL with 11 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. DR. Samuel Joseph, PA-C, MD NPI is 1588288203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 N HIGHWAY 19A
MOUNT DORA, FL
ZIP 32757-039
Phone: (352) 602-7924
Fax: (754) 206-2394

The NPI 1588288203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 7/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineHSE32842FLORIDANo
2208600000XSurgery238000625ILLINOISNo
3208D00000XGeneral PracticeTPPA373PUERTO RICONo
4363A00000XPhysician AssistantTPPA373FLORIDANo
5363A00000XPhysician Assistant9733ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.