SAMANTHA LYNN MYERS (NPI# 1477622108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477622108 |
| Entity Type | Individual |
| Full Name | SAMANTHA LYNN MYERS |
| Other Name | SAMANTHA LYNN LEONARD |
| Credential | P.A.C. |
| Practice Address |
5701 Bow Pointe Dr Suite 100 Clarkston MI 48346-3198 |
| Practice Telephone | 2486252621 |
| Practice Fax Number | 2486258938 |
| Mailing Telephone | 2486252621 |
| Mailing Fax Number | 2486258938 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | SM003586 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814686 | Samantha Myers | Behavior Technician | 351 Tenny St, Bloomsburg, PA 17815-3264 | 2020-09-01 |
| 1023504974 | Samantha E. Myers | Optometrist | 911 Bypass Rd # Clinic9, Pikeville, KY 41501-1689 | 2018-07-03 |
| 1730554635 | Samantha Anne Myers | Student in an Organized Health Care Education/Training Program | 191 Lake Rd, Fayetteville, GA 30214-3525 | 2015-12-03 |
| 1528322310 | Samantha R Myers | Home Health Aide | 313 8th St Ne, Washington, DC 20002-6107 | 2012-06-27 |
| 1144549379 | Samantha Colleen Myers | Military Health Care Provider | 2000 W Marine View Dr # 2134, Everett, WA 98207-2900 | 2010-05-27 |
| 1861001125 | Samantha Myers | Recreation Therapist | 1300 Bruce B Downs Blvd, Tampa, FL 33612 | 2020-07-23 |
| 1528692191 | Samantha Myers | Dietitian, Registered | 326 S Broadview St Ste B, Cape Girardeau, MO 63703-5703 | 2020-02-23 |
| 1528575545 | Samantha Joellen Myers | Family Medicine | 1717 S Utica Ave, Ste A, Tulsa, OK 74104 | 2017-12-29 |
| 1710419536 | Samantha Myers | Specialist/Technologist | 651 N Old Coachman Rd, Clearwater, FL 33765-2321 | 2017-03-30 |
| 1376904409 | Samantha Myers | Nurse Practitioner | 330 Borthwick Ave, Suite 205, Portsmouth, NH 03801-4174 | 2016-03-17 |
| Street Address |
5701 BOW POINTE DR SUITE 100 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955246 | James A Oneill | Pediatrics | 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 | 2005-07-14 |
| 1154872190 | Bianca Green | Nurse Practitioner | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2016-10-14 |
| 1437504149 | Sara Michelle Lebovic | Advanced Practice Midwife | 5701 Bow Pointe Dr, Suite 350, Clarkston, MI 48346-3198 | 2016-05-01 |
| 1649643263 | Michael Engler | Physician Assistant | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2015-11-04 |
| 1285000869 | Sandra Aloia | Nurse Practitioner | 5701 Bow Pointe Dr, Ste 370, Clarkston, MI 48346 | 2015-08-18 |
| 1245621804 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 | 2015-02-18 |
| 1316371271 | Arli Susan Motsinger | Nurse Practitioner | 5701 Bow Pointe Dr, Suite100, Clarkston, MI 48346-3198 | 2013-08-28 |
| 1609200021 | Scott Walter Tycholiz | Physician Assistant | 5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346-3198 | 2013-08-22 |
| 1710239652 | Rebecca Lynn Warner | Physical Therapist | 5701 Bow Pointe Dr, Ste 300, Clarkston, MI 48346-3198 | 2012-10-02 |
| 1811262546 | Bradley Wallace Erlandson Sr. | Counselor | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2012-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| 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 |
|---|---|---|---|---|
| 1528684834 | Ashley Hughes | Physician Assistant | 5901 Dixie Hwy Apt B214, Clarkston, MI 48346-4530 | 2020-06-23 |
| 1922621218 | Nicole Whitmore | Physician Assistant | 5047 Sylvanview Dr, Clarkston, MI 48348-3858 | 2020-05-21 |
| 1548899545 | Christian Scott Bonzheim | Physician Assistant | 7730 Parkcrest Cir, Clarkston, MI 48348-2967 | 2020-04-02 |
| 1598314635 | Faraiba Faqeerzada | Physician Assistant | 3700 Market St Ste E1, Clarkston, GA 30021-2653 | 2019-09-11 |
| 1831742253 | Kaylee Ann Traver | Physician Assistant | 432 Circle Pt, Clarkston, MI 48348-1489 | 2019-07-24 |
| 1386201440 | Bryce D James | Physician Assistant | 2535 Reservoir Rd, Clarkston, WA 99403-1656 | 2019-05-23 |
| 1700231461 | Casey Merte | Physician Assistant | 6332 Heron Ct, Clarkston, MI 48346-2299 | 2016-05-02 |
| 1134274699 | Stephanie Ann Coleman | Physician Assistant | 5701 Bow Pointe Dr Ste 212, Clarkston, MI 48346-5400 | 2007-01-24 |
| 1417575929 | Jessie A Felix | Physician Assistant | 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346-3199 | 2020-07-10 |
| 1689161127 | Payal Brahmbhatt | Physician Assistant | 3660 Market St, Clarkston, GA 30021-1246 | 2018-04-19 |
| Find all providers in CLARKSTON | ||||
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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.