Samuel, Stewart & Associates, PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SAMUEL, STEWART & ASSOCIATES, PSC

Practice address

141 Quartermaster CT
Jeffersonville, IN 47130-3627

Phone

(502) 583-7741

Fax

(502) 290-9743

NPI assigned

Dec 28, 2006

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Frederick Samuel, M.D.NPI 1063417053

Title

President

Phone

(502) 583-7741

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 10

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.

• Steven Frederick Samuel, MD

  • Surgery Physician
  • Jeffersonville, IN
  • NPI 1063417053
  Medicare reassignment Authorized official
• Glenda Renee Phillips, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1013417435

  IN

  Medicare reassignment NPD
• Joseph Herman Beaven, M.D.

  • Internal Medicine Physician
  • Charlestown, IN
  • NPI 1619963105
  NPD (past)
• Catherine Coomer, ARNP-C

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1851379887
  NPD (past)
• Jeremy Lee Wilt, NP

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1043689672
  NPD (past)
• Brittany Ann Winsor, APRN

  • Family Nurse Practitioner
  • Charlestown, IN
  • NPI 1447803721

  Single Specialty

  NPD (past)
• Debra Marie Zimmer, FNP-C

  • Nurse Practitioner
  • Scottsburg, IN
  • NPI 1568458610
  NPD (past)
• Kathleen G. Allen, MD

  • Surgery Physician
  • Clearwater, FL
  • NPI 1700822152
  NPD (past)
• Victoria Ruth Moreland, APRN,MSN,FNP-C

  • Nurse Practitioner
  • Carlsbad, NM
  • NPI 1982056073
  NPD (past)
• Robert Calvert Stewart, M.D.

  • Surgery Physician
  • Louisville, KY
  • NPI 1801892856
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1871659466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303627",
            "telephone_number": "502-583-7741",
            "fax_number": "502-290-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303627",
            "telephone_number": "502-583-7741",
            "fax_number": "502-290-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL, STEWART & ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-583-7741",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65906232",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000869923",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300001782",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabra Indiana Operations IV, LLC
• Sabra Indiana Operations IV, LLC
• Joan Saltz, STUDENT HID
• Kelly Saltzgaber
• Steven Frederick Samuel, MD
• Meghan Sanders
• Resa Deanne Sandora, LCSW
• Holly Marie Sapp, MSSW, LCAC
• Miriam Sargent, MSSW
• Starr Satterly

• Surgery Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.