Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225882178 Individual Practitioner Male Practitioner

Samuel Raeyu Yacob , N, A

Driver • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Samuel Yacob, N, A is a registered healthcare professional specializing in Driver in Phoenix, AZ. Practice services are available at 2524 W ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2524 W Elm St

Phoenix, AZ 850173639

Telephone 4802272603

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Phoenix, AZ (109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-16
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License AZ D09767801

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2024

Registered at 2524 W ELM ST, PHOENIX, AZ 850173639 (Tel: 4802272603)

📍
Updated Business Mailing Address April 16, 2024

Registered at 2524 W ELM ST, PHOENIX, AZ 850173639 (Tel: 4802272603)

👤
Provider Name / Credentials Updated April 16, 2024

Recorded as SAMUEL YACOB, N/A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2024

Driver (License #D09767801 in AZ)

🟢
Initial NPI Registration & Enumeration April 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225882178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2024
Last Update: April 16, 2024
Sole Proprietor: Yes

Mailing Address

2524 W Elm St

Phoenix, AZ 850173639

Phone: 4802272603

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.