Individual provider Active NPI

Joshua Samuels, PA-C

  • Physician Assistant
  • Nome, AK
National Provider Identifier
1649243205
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
299 Issued in AK
Practice address
306 West 5TH Avenue
Norton Sound Health Corporation
Nome, AK 99762-0966
Phone
(907) 443-3311
Fax
(907) 443-3139
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 299 AK Primary

Addresses

Primary practice location

306 West 5TH Avenue
Norton Sound Health Corporation
Nome, AK 99762-0966

Mailing address

PO Box 966
Norton Sound Health Corporation
Nome, AK 99762-0966
Phone (907) 443-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
299AKMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649243205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "address_2": "NORTON SOUND HEALTH CORPORATION",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3311",
            "fax_number": "907-443-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WEST 5TH AVENUE",
            "address_2": "NORTON SOUND HEALTH CORPORATION",
            "city": "NOME",
            "state": "AK",
            "postal_code": "997620966",
            "telephone_number": "907-443-3311",
            "fax_number": "907-443-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.