SAMANTHA ANN LANE (NPI# 1649744269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649744269 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANN LANE |
| Practice Address |
2 Celeste Dr Johnstown PA 15905-2832 |
| Mailing Address |
169 Decker St Garrett PA 15542-8620 |
| Practice Telephone | 8142556781 |
| Mailing Telephone | 2404461127 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA061481 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 169 Decker St, Garrett, PA 155428620 | 2404461127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020246 | Samantha Lane | Social Worker | 5402 Applewood Close, Rockford, IL 61114-5490 | 2020-07-14 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1104097559 | Samantha Lane | Occupational Therapy Assistant | 3503 Wedgewood Rd Sw, Roanoke, VA 24015-4437 | 2008-03-13 |
| 1508365586 | Samantha Lane | Registered Nurse | 424 Savannah Road, Lewes, DE 19958 | 2018-02-06 |
| 1336467075 | Samantha Lane | Internal Medicine | 3020 Weddington Rd, Concord, NC 28027-8158 | 2010-05-05 |
| Street Address |
2 CELESTE DR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961093 | Jill Ling | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2005-06-13 |
| 1194253658 | Emery Scott Mock | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2017-05-30 |
| 1922498179 | Jason Lonesky | Specialist/Technologist | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2015-01-27 |
| 1962767814 | Anthony B Rentz | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2012-07-06 |
| 1164733671 | Kristin Lynn Strannigan | Podiatrist | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2010-06-30 |
| 1841427085 | Amanda Lauren Ferrante | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2009-06-15 |
| 1508008665 | Jacob Matthew Budny | Orthopaedic Surgery | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2009-04-03 |
| 1831100718 | James Andrew Burda | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2006-08-10 |
| 1780695684 | Oleg Cooley | Physician Assistant | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2006-08-10 |
| 1104835818 | Don Allen Lowry | Orthopaedic Surgery | 2 Celeste Dr, Johnstown, PA 15905-2832 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1508055641 | Kristi Lynn Paetzel | Physician Assistant | 4840 Larimer Pkwy Bldg 1, Johnstown, CO 80534-9012 | 2007-10-15 |
| 1174561419 | James Mendillo | Physician Assistant | 1450 Scalp Ave Ste 106, Johnstown, PA 15904-3340 | 2006-06-02 |
| 1316903487 | Jennifer L Naylor | Physician Assistant | 1425 Scalp Ave Ste 175, Johnstown, PA 15904-3324 | 2006-04-26 |
| 1396716601 | Melissa Jay Leonardis | Physician Assistant | 334 Bloomfield St, Johnstown, PA 15904 | 2006-01-27 |
| 1386629483 | Joan Venerosa | Physician Assistant | 700 S. Perry St., St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095 | 2005-12-12 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1225643612 | Calli Morgan Smith | Physician Assistant | 100 Susan Dr, Johnstown, PA 15905-2826 | 2020-09-11 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1508480542 | Ellen Kingdom | Physician Assistant | 4397 Ronald Reagan Blvd, Johnstown, CO 80534-6445 | 2020-06-05 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| Find all providers in JOHNSTOWN | ||||
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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.