SAMUEL JENNINGS (NPI# 1598217333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598217333 |
| Entity Type | Individual |
| Full Name | SAMUEL JENNINGS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4175 S Alamo Ave Davis Monthan Afb AZ 85707-4402 |
| Practice Telephone | 5202281585 |
| Mailing Telephone | 5202281585 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419636 | Samuel Thomas Jennings | Internal Medicine | 600 Fitch St, Suite 202 & 203, Elmira, NY 14905-1634 | 2005-09-30 |
| Street Address |
4175 S ALAMO AVE |
| City | DAVIS MONTHAN AFB |
| State | AZ |
| Zip Code | 85707-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083536 | Sandra Kay Kuhn | Nurse Practitioner | 4175 S Alamo Ave, Bldg 400, Davis Monthan Afb, AZ 85707 | 2005-09-19 |
| 1326428509 | Colby C Gray | General Practice | 4175 S Alamo Ave, Bldg 400; Flight Medicine Clinic, Davis Monthan Afb, AZ 85707-4402 | 2015-06-03 |
| 1346592649 | Jennifer Brie Rock | Nurse Practitioner | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2012-10-10 |
| 1568741866 | Debbie Rachel Lee | Dentist | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2011-08-04 |
| 1730414905 | Josh Reiter | Physical Therapist | 4175 S Alamo Ave, Building 400, Room #71, Davis Monthan Afb, AZ 85707 | 2009-10-06 |
| 1578897310 | Annetta Rachelle Medaugh | Registered Nurse | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2009-09-27 |
| 1306076377 | Jayme L Cline | Military Health Care Provider | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2009-07-23 |
| 1013168418 | James Jay Tschudy IIi | Pediatrics | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2008-10-02 |
| 1245495647 | Patricia Ann Bridges | Pharmacist | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-6097 | 2008-07-24 |
| 1700957420 | Virginia Ann Underwood | Family Medicine | 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707-4402 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| 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 |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1275148280 | Patricia Miriam Rus | Physician Assistant | 23615 N 105th Dr, Peoria, AZ 85383-1195 | 2020-09-15 |
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1043825367 | Lauren Elizabeth Fraijo | Physician Assistant | 13575 W Indian School Rd Ste 700, Litchfield Park, AZ 85340-4905 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | DAVIS MONTHAN AFB |
| Zip Code | 85707 |
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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.