Organization Active NPI

E. John R. Samuel, MD, PA

  • Hematology (Internal Medicine) Physician
  • Humble, TX
National Provider Identifier
1700852068
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
G7326 Issued in TX
Legal business name
E. JOHN R. SAMUEL, MD, PA
Practice address
18955 N Memorial Dr Ste 200
Humble, TX 77338-4386
Phone
(281) 446-9999
Fax
(281) 446-5399
NPI assigned
Feb 27, 2006
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
E. John R. Samuel, MD
Title
Authorized Official
Phone
(281) 446-2999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 257051 NY
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X G7326 TX Primary

Addresses

Primary practice location

18955 N Memorial Dr Ste 200
Humble, TX 77338-4386

Mailing address

18955 N Memorial Dr Ste 200
Humble, TX 77338-4386
Phone (281) 446-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000934 TX Part B Supplier - Clinic/Group Practice 2769404714 Receives reassigned benefits from 2 practitioners
Practice locations: Conroe, TX; Humble, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

22999 Highway 59 N
Ste 252
Kingwood, TX 77339
Phone (281) 359-7500

21848 Holzwarth Rd
Ste 110
Spring, TX 77388
Phone (281) 446-2999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1700852068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384386",
            "telephone_number": "281-446-2999",
            "fax_number": "281-446-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384386",
            "telephone_number": "281-446-9999",
            "fax_number": "281-446-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JOHN R. SAMUEL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "E. JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-446-2999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "257051",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "TX",
            "license": "G7326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.