HENRY N SAMSOE (NPI# 1578527057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578527057 |
| Entity Type | Individual |
| Full Name | HENRY N SAMSOE |
| Credential | PA-C |
| Practice Address |
740 W Plymouth Ave Deland FL 32720-3282 |
| Practice Telephone | 3867349122 |
| Practice Fax Number | 3867364348 |
| Mailing Telephone | 3867349122 |
| Mailing Fax Number | 3867364348 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9103133 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292882500 | 05 |
| Street Address |
740 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720-3282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683359 | Kurt T. Wood | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2005-07-18 |
| 1083265086 | Ryan Bryce Adamcik | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2019-09-23 |
| 1255850517 | William Tyler Sawyer | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2017-09-18 |
| 1023345543 | Nicholas V Baroni | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2009-11-04 |
| 1144451055 | Nathan J Turnbull | Orthopaedic Surgery | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2009-07-28 |
| 1265681522 | Ashley Reed Manresa | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2008-09-11 |
| 1134396831 | Brandon M Steen | Orthopaedic Surgery | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2008-05-12 |
| 1780864934 | Thomas J Brodrick | Orthopaedic Surgery | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2007-11-05 |
| 1457315772 | Mark W Hollmann | Orthopaedic Surgery | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2006-04-13 |
| 1376507707 | Royce E Hood Jr. | Orthopaedic Surgery | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| 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 |
|---|---|---|---|---|
| 1194058172 | Peter Lindland | Physician Assistant | 526 Land O Lakes Ct, Deland, FL 32724-3700 | 2009-09-09 |
| 1316021777 | Suzanne Elaine Villalobos | Physician Assistant | 549 N Bert Fish Dr, Deland, FL 32724-3509 | 2006-10-24 |
| 1386670420 | Stephanie Dawn Stovall | Physician Assistant | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-06-23 |
| 1407858004 | Judy R Macnichols | Physician Assistant | 1070 N. Stone Street, Suite A, Deland, FL 32720 | 2005-08-12 |
| 1780683359 | Kurt T. Wood | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2005-07-18 |
| 1003449117 | Brent Wilkins | Physician Assistant | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2020-02-17 |
| 1083265086 | Ryan Bryce Adamcik | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2019-09-23 |
| 1366953135 | Kelsey Hoblick | Physician Assistant | 844 W Plymouth Ave, Deland, FL 32720-3284 | 2017-10-19 |
| 1255850517 | William Tyler Sawyer | Physician Assistant | 740 W Plymouth Ave, Deland, FL 32720-3282 | 2017-09-18 |
| 1710438270 | Courtney Danielle Cobaugh | Physician Assistant | 600 W Plymouth Ave, Deland, FL 32720-3260 | 2016-10-19 |
| Find all providers in DELAND | ||||
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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.