SAMANTHA B SHAFFER (NPI# 1255347829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255347829 |
| Entity Type | Individual |
| Full Name | SAMANTHA B SHAFFER |
| Credential | PA-C |
| Practice Address |
1322 Eisenhower Blvd Johnstown PA 15904-3307 |
| Practice Telephone | 8145368969 |
| Practice Fax Number | 8145367180 |
| Mailing Telephone | 8145368969 |
| Mailing Fax Number | 8145368969 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA052580 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007708200001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548673478 | Samantha Shaffer | Occupational Therapy Assistant | 9301 Hoffman Pl, Warrior, AL 35180-1515 | 2014-06-09 |
| 1699398339 | Samantha Shaffer | Occupational Therapy Assistant | 303 N Mecca St, Cortland, OH 44410-1074 | 2020-05-28 |
| 1831720580 | Samantha Shaffer | Social Worker | 8415 Bellona Ln, Towson, MD 21204-2055 | 2020-01-31 |
| 1013475862 | Samantha Shaffer | Behavior Technician | 1250 Executive Pl Ste 201, Geneva, IL 60134-3805 | 2019-03-11 |
| 1942770995 | Samantha Elyse Shaffer | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5166 | 2018-12-03 |
| Street Address |
1322 EISENHOWER BLVD |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236833 | Pediatric Care Specialists | Clinic/Center | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2005-09-21 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1578192969 | Christopher Raymond Kebberly | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-04-07 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| 1326601659 | Sean D Riek | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2019-04-22 |
| 1619457116 | Morgan Zucchino | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-08-15 |
| 1528544418 | Taylor M King-brothers | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-07-14 |
| 1033695929 | Josie F Helsel | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-07-14 |
| 1396275962 | Kelly Emswiler | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2017-06-15 |
| 1659814432 | Kristen Moot | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2016-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752470 | Brooke Lynn Rhoades | Physician Assistant | 322 Warren St Ste 300, Johnstown, PA 15905-3443 | 2018-06-06 |
| 1114467677 | Erika George | Physician Assistant | 516 Indiana St, Johnstown, PA 15905-2315 | 2017-03-03 |
| 1538290614 | Colleen Shaw | Physician Assistant | 400 N Perry St, Johnstown, NY 12095-1115 | 2007-03-08 |
| 1043316870 | Thomas J Destefano | Physician Assistant | 429 Industrial Park Dr, Pbg Health and Wellness Center, Johnstown, PA 15904 | 2006-09-16 |
| 1538190996 | Meghan Bolinger | Physician Assistant | 598 Galleria Dr, Johnstown, PA 15904-8900 | 2006-07-05 |
| 1639167604 | Francis Buddy Legath | Physician Assistant | 1118 Club Dr, Johnstown, PA 15905-1914 | 2005-10-12 |
| 1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
| 1487134938 | Tayler Orion Sechrengost | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2018-08-15 |
| 1649764853 | Angela Marie Beahr | Physician Assistant | 374 Theatre Dr, Johnstown, PA 15904 | 2018-06-20 |
| 1619460722 | Jeremy M. Sotosky | Physician Assistant | 350 Budfield St, Johnstown, PA 15904-3214 | 2018-06-13 |
| Find all providers in JOHNSTOWN | ||||
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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.