SAMANTHA RENEE GOLDBACH (NPI# 1104303270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104303270 |
| Entity Type | Individual |
| Full Name | SAMANTHA RENEE GOLDBACH |
| Practice Address |
5300 Military Rd Lewiston NY 14092-1997 |
| Mailing Address |
4360 Rushford Dr Hamburg NY 14075-3081 |
| Practice Telephone | 7162974800 |
| Mailing Telephone | 7169036953 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343240 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5300 MILITARY RD |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528066214 | Brian Block | Radiology | 5300 Military Rd, Xray Dept, Lewiston, NY 14092-1903 | 2005-07-07 |
| 1184252751 | Mount St. Mary's Hospital of Niagara Falls | Internal Medicine | 5300 Military Rd, Lewiston, NY 14092-1903 | 2020-03-30 |
| 1023656717 | Andrea Panzuto | Occupational Therapist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-12-13 |
| 1356985790 | Sean Fetzer | Pharmacist | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-10-29 |
| 1982261574 | Jennifer Lynn Lute | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-05-20 |
| 1700343936 | Sara Louise Baker | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-02-24 |
| 1194299388 | Sophia Lorenda Overton | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2019-01-22 |
| 1679059455 | Allison Marie Van Den Brand | Nurse Practitioner | 5300 Military Rd, Lewiston, NY 14092-1903 | 2018-07-16 |
| 1740631894 | Megan Kosmoski | Registered Nurse | 5300 Military Rd, Lewiston, NY 14092-1903 | 2016-06-29 |
| 1316395106 | Nancy Pennesi | Pharmacist | 5300 Military Rd, Pharmacy, Lewiston, NY 14092-1903 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358335 | Samantha Rae Grizanti | Licensed Practical Nurse | 4516 Model City Road, Lewiston, NY 14092 | 2019-10-18 |
| 1124527023 | Bethany Sirianni-jones | Physician Assistant | 5290 Military Road Suite # 8, Lewiston, NY 14092 | 2018-02-06 |
| 1427251800 | Cheryl Ann Krouse | Massage Therapist | 852 Madison Ave., Lewiston, NY 14092 | 2007-06-06 |
| 1154549756 | Niagara Physical Therapy PC | Specialist | 736 Cayuga Street, Lewiston, NY 14092 | 2007-04-22 |
| 1457486656 | Ronald William Laduca | Social Worker | 400 Oneida St, Lewiston, NY 14092 | 2007-02-21 |
| 1780736884 | Alberta Borgese Micale | Internal Medicine | 445 Fort Gray Drive, Lewiston, NY 14092 | 2007-01-17 |
| 1700944386 | Sherri L Lashomb | Chiropractor | 765 Center Street, Lewiston, NY 14092 | 2006-12-05 |
| 1457444929 | Jennifer Lynn Pofi | Pharmacist | 400 Plain Street, Lewiston, NY 14092 | 2006-10-02 |
| 1497848675 | Kimberly Ann Szymanski | Nurse Practitioner | 2015 Mount Hope Road, Lewiston, NY 14092 | 2006-10-02 |
| 1902864234 | Brenda Lee Perez | Emergency Medicine | 5300 Military Road, Lewiston, NY 14092 | 2006-05-03 |
| Find all providers in zip 14092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831746239 | Amanda Adams | Nurse Practitioner | 5226 Walmore Rd, Lewiston, NY 14092-9733 | 2019-08-20 |
| 1891258182 | Tamara Dawn Demean | Nurse Practitioner | 1331 G St, Lewiston, ID 83501-1964 | 2019-04-12 |
| 1518436450 | Sokharath Keller | Nurse Practitioner | 12 High St Ste 302, Lewiston, ME 04240-7690 | 2018-11-21 |
| 1982170403 | Sara Denoncourt | Nurse Practitioner | 99 Campus Ave Ste 301, Lewiston, ME 04240-6045 | 2018-10-23 |
| 1659877637 | Donna Poirier | Nurse Practitioner | 733 Center St, Lewiston, NY 14092-1705 | 2018-03-30 |
| 1972013852 | Katelyn Marie Rock | Nurse Practitioner | 10 High St Ste 305, Lewiston, ME 04240-7656 | 2017-10-05 |
| 1518327576 | Lauren Blais | Nurse Practitioner | 77 Bates St Ste 201, Lewiston, ME 04240-7637 | 2016-03-03 |
| 1073983748 | Tracy Streibick Flynn | Nurse Practitioner | 500 8th Ave Rm 205, Lewiston, ID 83501-2691 | 2015-10-06 |
| 1679963284 | Amy Lynette Larson | Nurse Practitioner | 338 6th St # 101, Lewiston, ID 83501-2420 | 2015-02-03 |
| 1679989222 | Stephanie Mellen | Nurse Practitioner | 330 Sabattus St Ste B, Lewiston, ME 04240-5553 | 2014-07-03 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.