SAMANTHA JEAN HALL (NPI# 1457975153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457975153 |
| Entity Type | Individual |
| Full Name | SAMANTHA JEAN HALL |
| Credential | PA-C |
| Practice Address |
6810 State Route 162 Ste 10 Maryville IL 62062-8587 |
| Mailing Address |
10 Farriole Ave Collinsville IL 62234-2824 |
| Practice Telephone | 6182882020 |
| Mailing Telephone | 6184077799 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875016 | Samantha Jo Hall | Technician | 318 Maylawn Ave, Wadsworth, OH 44281-1264 | 2020-09-11 |
| 1366082430 | Samantha Hall | Massage Therapist | 9777 S Yosemite St Ste 110, Lone Tree, CO 80124-3115 | 2020-01-07 |
| 1417303876 | Samantha J Hall | Speech-Language Pathologist | 4912 Walnut St, Omaha, NE 68106-2456 | 2016-05-04 |
| 1346603750 | Samantha Hall | Behavioral Analyst | 908 Roosevelt Rd Ste K, Valparaiso, IN 46383-4376 | 2016-04-02 |
| 1700277829 | Samantha Hall | Student in an Organized Health Care Education/Training Program | Rr 1 Box 7720, Camargo, OK 73835-9728 | 2015-02-11 |
| 1700166485 | Samantha Hall | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2011-08-25 |
| 1184237133 | Samantha Sharee Hall | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-08-28 |
| 1750926069 | Samantha Hall | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2019-11-11 |
| 1699319566 | Samantha Hall | Speech-Language Pathologist | 8348 Traford Ln Ste 200, Springfield, VA 22152-1650 | 2019-11-04 |
| 1235786674 | Samantha Milton Hall | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-08-21 |
| Street Address |
6810 STATE ROUTE 162 STE 10 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-8587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740364173 | Sps Surgical Services, Sc | Surgery | 6810 State Route 162 Ste 10, Maryville, IL 62062-8501 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
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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.