MS. SAMANTHA ELAN HOLLIS (NPI# 1396806279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396806279 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA ELAN HOLLIS |
| Credential | MMS, PA-C |
| Practice Address |
4755 Ogletown Stanton Rd Suite 2e99 Newark DE 19718-2200 |
| Practice Telephone | 3027335982 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | C5-0000632 | DE | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | C5-0000891 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085002891 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912351693 | Samantha Hollis | Social Worker | 126 Dighton Avenue, Taunton, MA 02780 | 2016-04-19 |
| 1366959629 | Samantha Hollis | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-08 |
| 1427408855 | Samantha Lake Hollis | Student in an Organized Health Care Education/Training Program | 764 Saco Lowell Rd, Easley, SC 29640-3880 | 2016-06-16 |
| Street Address |
4755 OGLETOWN STANTON RD SUITE 2E99 |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223850 | Erik S Marshall | Internal Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital Suite 1e30, Newark, DE 19718-2200 | 2005-05-27 |
| 1073114740 | Helen Mutoko | Registered Nurse | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-11-08 |
| 1245839786 | Julie Pifer | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-24 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1033717657 | Amy Aucott | Respiratory Therapist, Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-15 |
| 1235736083 | Morgan Hudson | Occupational Therapist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-05 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1033725346 | Kacee Jo Verhovec | Pharmacist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-22 |
| 1457966780 | Braden J Schroeder | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-14 |
| 1497367155 | Christina Hoddinott | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647488 | Julia Siyao Yu | Physician Assistant | 541 Oakdale Rd Apt D, Newark, DE 19713-2928 | 2020-10-20 |
| 1376001990 | Kiley Dale Titus | Physician Assistant | 165 E Union St, Newark, NY 14513-1559 | 2019-03-04 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1750833646 | Rosalyn Hightower | Physician Assistant | 1213 Churchmans Rd, Newark, DE 19713-2149 | 2016-10-26 |
| 1013342757 | Leia Lavoie Collins | Physician Assistant | 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 | 2013-09-12 |
| 1447509179 | Chloe E Dickinson | Physician Assistant | 550 S College Ave Ste 115, Newark, DE 19706-1308 | 2012-09-10 |
| 1447509591 | Drew Pento | Physician Assistant | 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-09-05 |
| 1568711034 | Jacqueline Pellenbarg | Physician Assistant | 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 | 2012-08-30 |
| 1912284530 | Ian A Blizzard | Physician Assistant | 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 | 2011-11-10 |
| 1043596133 | Victoria Leicht | Physician Assistant | 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 | 2011-11-02 |
| Find all providers in NEWARK | ||||
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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.