SAMANTHA SMITH (NPI# 1346693314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346693314 |
| Entity Type | Individual |
| Full Name | SAMANTHA SMITH |
| Credential | PA-C |
| Practice Address |
128 Jackson St Brooklyn IA 52211-7711 |
| Mailing Address |
128 Jackson St Po Box 527 Brooklyn IA 52211-7711 |
| Practice Telephone | 6415227221 |
| Practice Fax Number | 6415225816 |
| Mailing Telephone | 6415227221 |
| Mailing Fax Number | 6415225816 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
083680 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717008 | Samantha Smith | Registered Nurse | 4428 Dr Thomas Walker Rd, Rose Hill, VA 24281-8382 | 2020-07-13 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1548742398 | Samantha Blaire Smith | Specialist/Technologist | 1946 Tennyson Ave Ne, Massillon, OH 44646-2600 | 2018-08-29 |
| 1831683267 | Samantha Smith | Physical Therapy Assistant | 334 Crandall Way, Spartanburg, SC 29301-5372 | 2018-06-19 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1912366246 | Samantha Michelle Smith | Specialist/Technologist | 2305 Milan Rd, Sandusky, OH 44870-4997 | 2016-02-15 |
| 1972977338 | Samantha Marie Smith | Nurse Practitioner | 9219 Cypresswood Cir, Tampa, FL 33647-2431 | 2015-11-23 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1679974463 | Samantha Brittany Smith | Audiologist | 5673 Peachtree Dunwoody Rd Ste 150, Atlanta, GA 30342-1771 | 2014-09-11 |
| 1386991586 | Samantha Paige Smith | Case Manager/Care Coordinator | 902 S. Myrtle Ave., Monrovia, CA 91016 | 2012-08-07 |
| Street Address |
128 JACKSON ST |
| City | BROOKLYN |
| State | IA |
| Zip Code | 52211-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427487685 | Michele Leann Schultz | Nurse Practitioner | 128 Jackson St, Brooklyn, IA 52211-7711 | 2013-11-07 |
| 1396304267 | Kyle M Hawkins | Physician Assistant | 128 Jackson St, Brooklyn, IA 52211-7711 | 2019-06-13 |
| 1982019865 | Emily Wagner | Physician Assistant | 128 Jackson St, Brooklyn, IA 52211-7711 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936431 | Brooklyn Chiropractic, P.l.c. | Chiropractor | 124 Jackson St., Brooklyn, IA 52211 | 2007-08-05 |
| 1548341035 | Brian J Heineman | Family Medicine | 128 Jackson Street, Brooklyn, IA 52211 | 2006-10-18 |
| 1538297940 | Brian J. Heineman, D.o. | Family Medicine | 128 Jackson Street, Brooklyn, IA 52211 | 2007-02-28 |
| 1306935101 | Town of Brooklyn | Ambulance | 134 Jackson, Brooklyn, IA 52211-0269 | 2006-10-12 |
| 1679553002 | Philip J Harrington | Chiropractor | 124 Jackson Street, # 421, Brooklyn, IA 52211-0421 | 2006-01-20 |
| 1831425776 | Brooklyn Chiropractic Center, PC | Chiropractor | 124 Jackson St, Brooklyn, IA 52211-7711 | 2009-10-28 |
| 1386970226 | Alan Edward Wiedenman | Chiropractor | 124 Jackson St, Brooklyn, IA 52211-7711 | 2009-10-28 |
| 1669453312 | Thompson & Thompson Long Term Care Inc | Pharmacy | 101 E Front St, Brooklyn, IA 52211-7721 | 2005-11-09 |
| 1437643897 | Nudak Ventures LLC | Pharmacy | 101 E Front St, Brooklyn, IA 52211-7721 | 2018-06-19 |
| 1275811887 | Melissa Moyer | Occupational Therapy Assistant | 1443 310th Ave, Brooklyn, IA 52211-8616 | 2011-07-31 |
| Find all providers in zip 52211 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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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.