Ferdinand K Samuel, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

R2879 Issued in AR

Practice address

1801 W 40TH Ave
Ste 2B
Pine Bluff, AR 71603-6957

Phone

(870) 535-7457

Fax

(870) 535-2522

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1174528186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131272",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "STE 2B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036957",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "FERDINAND",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "R2879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54658",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/HUMANA",
            "identifier": "AR6003787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE/PGBA",
            "identifier": "050019321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103013001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamida Saba, MD
• Kearie Saine
• Shahidah Salaam, LMSW
• Helay Salehzai, MD
• Syed Abdus Samad, MD
• Napoleon Timothy Sandeford
• Sarahrose S. Webster, M.D., P.a.
• Sarc by HSH ASC Pine Bluff, LLC
• Sarc by Hsi Pine Buff LLC
• Sark Opl

• Anesthesiology Physician in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Anesthesiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.