MRS. SAMANTHA J VAN GINNEKEN


Address: 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494
Phone: 4322108950

MRS. SAMANTHA J VAN GINNEKEN (NPI# 1225315229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225315229
Entity Type Individual
Full Name MRS. SAMANTHA J VAN GINNEKEN
Other Name SAMANTHA J SCHEIBLE
Credential PA-C
Practice Address 8020 S Rainbow Blvd Ste 100
Box #536
Las Vegas
NV 89139-6494
Practice Telephone 4322108950
Mailing Telephone 4322108950
Enumeration Date 2011-11-04
Last Update Date 2016-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA 1294 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1225315229 05

Office Location

Street Address 8020 S RAINBOW BLVD STE 100
BOX #536
City LAS VEGAS
State NV
Zip Code 89139-6494

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1790134179 Jubert C Aranas LLC Dentist 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 2016-06-07
1245533207 Maryanne D. Phillips Md Apc Anesthesiology 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 2010-12-14
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1669600896 Min Kyu Kim Dentist 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 2009-06-25
1790924587 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 3692 Blue Diamond Road, Las Vegas, NV 89139 2009-02-18
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821554106 Amy Hamilton Physician Assistant 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 2019-02-12
1386145159 Kevin Refahiyat Physician Assistant 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 2018-02-26
1316487325 Nadiya-larissa Bateman Physician Assistant 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 2017-02-24
1760840797 Ying Quan Physician Assistant 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 2016-02-04
1396121646 Lucas Michal Anderson Physician Assistant 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 2015-08-09
1851631378 Matthew Sanders Physician Assistant 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 2013-02-20
1285973289 Jesus Angel Corn Sotelo Physician Assistant 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 2013-02-11
1952675993 Donald Patrick Mcgrorey Md Pllc Physician Assistant 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 2012-03-07
1508136375 Leigh Richards Boeckle Physician Assistant 9033 W Sahara Ave, Las Vegas, NV 89117 2012-01-10
1487949954 Lila Raissi Physician Assistant 5701 W Charleston Blvd Ste 100, Las Vegas, NV 89146-1256 2011-06-13
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Competitor

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City LAS VEGAS
Zip Code 89139

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Dataset Information

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.

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