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JASON SAMUEL CHARTERED
NPI 1629143342
Internal Medicine - Gastroenterology in Henderson, KY

Active since November 21, 2006
110 THIRD ST, SUITE 310, HENDERSON, KY 42420(270) 826-1266(270) 827-5385 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason Samuel Chartered NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON SAMUEL CHARTERED (NPI 1629143342) is a healthcare organization registered as a gastroenterology in Henderson, Kentucky and active in the NPI registry since November 2006. The organization lists Jason T Samuel, President, as its authorized official.

NPPES Registry Identity

NPI1629143342
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJASON SAMUEL CHARTERED
Location Address110 THIRD ST, SUITE 310Henderson, KY 42420
Mailing AddressPo Box 1247Henderson, KY 42420 · (270) 826-1266 · Fax (270) 827-5385
Phone(270) 826-1266
Fax(270) 827-5385
Organization SubpartNo
Authorized OfficialJason T SamuelPresident · (270) 826-1266
Enumeration DateNovember 21, 2006
Last NPPES UpdateMay 18, 2015
✔ NPI 1629143342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X
110 THIRD ST, Henderson, KY 42420
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Other Identifiers 4

Medicaid7100038670KY
Medicare PIN00476KY
Medicaid200893090AIN
Medicare PIN848040IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACEY N ROBERTS APRN, FNP-C
Nurse Practitioner (Family)
110 THIRD ST, SUITE 250
HENDERSON, KY 42420
Henderson County (270) 826-0135
CAROL ANN NEWBERRY APRN
Nurse Practitioner (Acute Care)
110 THIRD ST
HENDERSON, KY 42420
Henderson County (270) 827-2915
JAMES M FELLOWS MD
Urology
110 THIRD ST
HENDERSON, KY 42420
Henderson County (270) 827-2915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Samuel Chartered's NPI number?

The NPI number for Jason Samuel Chartered is 1629143342. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Jason Samuel Chartered located?

Jason Samuel Chartered is located at 110 Third St Suite 310, Henderson, KY 42420. The listed phone number is (270) 826-1266.

What is Jason Samuel Chartered's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Jason Samuel Chartered was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.