Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel T Korican, PA-C

Individual provider Physician Assistant · NPI 1114708609

Samuel T Korican, PA-C is a Physician Assistant in Jackson, Michigan. Qualified in 2023, 3 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

744 W Michigan Ave Ste 201
Jackson, MI 49201-1900
Phone: (517) 205-7618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012137 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114708609
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 10, 2023
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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