Provider Demographics
NPI:1396939781
Name:NAY, SAMUEL HEATH (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:HEATH
Last Name:NAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14524 CANTRELL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4702
Mailing Address - Country:US
Mailing Address - Phone:501-860-2769
Mailing Address - Fax:
Practice Address - Street 1:14524 CANTRELL RD
Practice Address - Street 2:SUITE 160
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4702
Practice Address - Country:US
Practice Address - Phone:501-860-2769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5477207P00000X
NMMD2009-0093207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine