SAMANTHA Y KING (NPI# 1639147739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639147739 |
| Entity Type | Individual |
| Full Name | SAMANTHA Y KING |
| Credential | MD |
| Practice Address |
1627 Seymour Dr South Boston VA 24592-3447 |
| Practice Telephone | 4345751336 |
| Practice Fax Number | 4345751349 |
| Mailing Telephone | 4345751336 |
| Mailing Fax Number | 4345722063 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101234104 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA | 62490 | 01 |
| VA | BCBS | 246295 | 01 |
| VA | 006738567 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218257 | Samantha King | Social Worker | 1822 E Nc Hwy 54 Suite 300, Durham, NC 27713-6189 | 2019-11-06 |
| 1659860443 | Samantha King | Counselor | 270 Hookahi St Ste 304, Wailuku, HI 96793-1466 | 2018-05-07 |
| 1093219156 | Samantha King | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 200, Baltimore, MD 21201-1645 | 2018-03-22 |
| 1427564905 | Samantha A King | Developmental Therapist | 1216 Blakely St, Woodstock, IL 60098-3632 | 2017-12-20 |
| 1124230677 | Samantha Doran King | Dentist | 50 Staniford St Fl 5, Boston, MA 02114-2517 | 2007-05-05 |
| 1558975623 | Samantha King | Speech-Language Pathologist | 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235-4943 | 2020-09-04 |
| 1952939985 | Samantha King | Nurse Practitioner | 525 W Brown Rd, Mesa, AZ 85201-3202 | 2020-03-27 |
| 1619440229 | Samantha King | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2019-01-07 |
| 1538631254 | Samantha Q King | Nurse Practitioner | 1005 White Willow Way, Morgantown, WV 26505-6119 | 2018-12-19 |
| 1447741392 | Samantha King | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-05-27 |
| Street Address |
1627 SEYMOUR DR |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030091 | Richard W Davis | Internal Medicine | 1627 Seymour Dr, South Boston, VA 24592-3428 | 2005-08-11 |
| 1184120164 | Theresa Gay Duffey | Social Worker | 1627 Seymour Dr, South Boston, VA 24592-3447 | 2018-03-30 |
| 1619404282 | Whitney Minter Harrell | Nurse Practitioner | 1627 Seymour Dr, South Boston, VA 24592-3447 | 2017-05-15 |
| 1235677634 | Piedmont Access To Health Services, Inc | Clinic/Center | 1627 Seymour Dr, Ste B, South Boston, VA 24592-3447 | 2017-02-06 |
| 1811917958 | Calvin Johnson Willis | Family Medicine | 1627 Seymour Dr, South Boston, VA 24592-3428 | 2006-07-20 |
| 1174551725 | Halifaxmed, Plc | Family Medicine | 1627 Seymour Dr, South Boston, VA 24592-3428 | 2006-06-30 |
| 1912963091 | Charles H. Parker Jr. | Internal Medicine | 1627 Seymour Dr, South Boston, VA 24592-3428 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472524 | Nonna Lyn M Ebalo | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-01-19 |
| 1457756322 | Dominion Health Medical Assoc | Pediatrics | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2014-11-04 |
| 1356690366 | South Boston Pediatrics, PC | Pediatrics | 2202 Beechmont Rd, South Boston, VA 24592-1614 | 2012-09-05 |
| 1588920284 | Amelia Fisher | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2012-04-06 |
| 1164721668 | Anne Jennifer Lombardi | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2011-03-23 |
| 1578633301 | Jason Channing Coleman | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-11-09 |
| 1407891815 | Fuller-roberts Clinic, Inc | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-06-19 |
| 1386612877 | Maria Precious Tangan Torres | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-03-09 |
| 1487628087 | Virginia Fitzgerald | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-13 |
| 1831163443 | Nisha Thakrar | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-13 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on SAMANTHA Y KING.
| 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.