JASON SAMUEL CHARTERED – NPI #1629143342
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

JASON SAMUEL CHARTERED is a provider located in HENDERSON, KY. NPPES has assigned the NPI number 1629143342 to JASON SAMUEL CHARTERED on November 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 11 years ago on May 18, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JASON SAMUEL CHARTERED below.

NPI Profile for
JASON SAMUEL CHARTERED

NPI Number
1629143342
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JASON SAMUEL CHARTERED
Primary location
110 THIRD ST
SUITE 310
HENDERSON, KY 42420
Phone: (270) 826-1266 Fax: (270) 827-5385
Mailing address
PO BOX 1247
HENDERSON, KY 42420
Phone: (270) 826-1266 Fax: (270) 827-5385
Organization Subpart
No
Authorized Official
JASON SAMUEL
PRESIDENT
Phone: (270) 826-1266
Updated
Identifiers

Identifiers for JASON SAMUEL CHARTERED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200893090A
MEDICAIDKY7100038670
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.