Jason Samuel Chartered
Jason Samuel Chartered is a healthcare organization registered as Gastroenterology Physician in Henderson, KY, holding Type 2 (organization) NPI 1629143342 since 2006. The authorized official on file is Jason Samuel, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629143342 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jason Samuel Chartered |
| Practice address | 110 THIRD ST, SUITE 310, Henderson, KY, 42420 |
| Phone | 2708261266 |
| Fax | 2708275385 |
| Enumeration date | 2006-11-21 |
| Last updated in NPPES | 2015-05-18 |
Authorized official
| Name | Jason Samuel |
|---|---|
| Title | President |
| Phone | 2708261266 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RG0100X | Gastroenterology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100038670 | Medicaid | KY | — |
| 200893090A | Medicaid | IN | — |
Copy-ready billing details
Provider: Jason Samuel Chartered NPI: 1629143342 Taxonomy: 207RG0100X (Gastroenterology Physician) Address: 110 THIRD ST, SUITE 310, Henderson, KY, 42420
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497762892 | James Fellows | Individual | Urology Physician | Henderson, KY |
| 1407152044 | Carol Newberry | Individual | Acute Care Nurse Practitioner | Henderson, KY |
| 1033468632 | Lacey Roberts | Individual | Family Nurse Practitioner | Henderson, KY |
Verify this record
Cross-check NPI 1629143342 against the authoritative CMS record: view Jason Samuel Chartered on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jason Samuel Chartered?
Who is the authorized official for Jason Samuel Chartered?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-18.