DR. SAMANTHA C MINNICOZZI (NPI# 1518304468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518304468 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA C MINNICOZZI |
| Credential | M.D. |
| Practice Address |
1204 W Main St Charlottesville VA 22903-2824 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349240123 |
| Practice Fax Number | 4342433300 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
0101266442 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1204 W MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980287 | Ann Lenox Kellams | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2005-08-31 |
| 1982210357 | Olivia Oriana Obertello | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-21 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1821611286 | Mackenzie Trapp | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-05-20 |
| 1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
| 1609439207 | Meredith Jordan | Student in an Organized Health Care Education/Training Program | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-04-18 |
| 1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
| 1275017147 | Haley F. Stephens | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-09-18 |
| 1114414919 | Shelley Towner | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-04-17 |
| 1891291944 | Elina Bank | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144514092 | Jonathan A Hemler | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2011-06-07 |
| 1710027826 | Peter W. Heymann | Pediatrics | Uva Primary Care Ctr, Lee Street, Charlottesville, VA 22908-0001 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169910 | Erin Bartlett | Pediatrics | 22505 Landmark Ct Ste 225, Ashburn, VA 20148-6503 | 2019-05-15 |
| 1821153172 | John R Vroom | Pediatrics | 6501loisdale Court, Springfield, VA 22150-1885 | 2006-12-27 |
| 1184735334 | Lan Chau Tu | Pediatrics | 6404 Seven Corners Place, #g, Falls Church, VA 22044-2304 | 2006-08-31 |
| 1285622183 | Derek K Johnson | Pediatrics | 3903a Fair Ridge Dr, Fairfax, VA 22033-2938 | 2005-10-13 |
| 1528300910 | Supriya Jain | Pediatrics | 3023 Hamaker Ct Ste 300, Fairfax, VA 22031-2240 | 2013-03-23 |
| 1679658363 | Adult and Pediatric Healthcare | Pediatrics | 100 Elden St, Suite 10, Herndon, VA 20170-4873 | 2006-10-25 |
| 1366495228 | Cristian Rodriguez | Pediatrics | 3450 N Beauregard St, Suite 1, Alexandria, VA 22302-1200 | 2006-05-19 |
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on DR. SAMANTHA C MINNICOZZI.
| 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.