Donald Samuel, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H5964 Issued in TX

Practice address

605 W Gibson St
Jasper, TX 75951-4909

Phone

(409) 489-0500

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1255414231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514909",
            "telephone_number": "409-489-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514909",
            "telephone_number": "409-489-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H5964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032707401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Nicole Rotsch, RN
• Kathleen M Russell, LMSW
• Lisa Marie Russell, RPH
• S&R Pharmaceuticals
• Salem Housing Corporation (Timberlake Health and Rehabilitation)
• Blake Katherine Sayers, MS. CCC-SLP
• Lauren Jean Schaeffer, FNP-C
• Rebecca M Schneider, MD
• Serenitybridge Counseling and Training Center
• Chaninthorn Setabutr, M.D.

• Obstetrics & Gynecology Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.