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SAMUEL KORNTNER MD
NPI 1801546429
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 26, 2022PECOS Enrolled
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-7303 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Korntner Md NPPES

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

SAMUEL KORNTNER MD (NPI 1801546429) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2022).

NPPES Registry Identity

NPI1801546429
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL KORNTNERCredential: MD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address1600 Sw Archer RdGainesville, FL 32610-3003 · (352) 265-7303
Phone(352) 265-7303
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2022
Enumeration DateMarch 26, 2022
Last NPPES UpdateMay 23, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1801546429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Korntner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507232642
PECOS Enrollment IDI20260520004147
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Samuel Korntner's NPI number?

The NPI number for Samuel Korntner is 1801546429. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Samuel Korntner located?

Samuel Korntner practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-7303.

What is Samuel Korntner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Korntner enrolled in Medicare?

Yes. Samuel Korntner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Korntner was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.