SAMANTHA L KEITER (NPI# 1700215431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700215431 |
| Entity Type | Individual |
| Full Name | SAMANTHA L KEITER |
| Other Name | SAMANTHA L HUGHES |
| Credential | PAC |
| Practice Address |
110 Hospital Rd Suite 310 Prince Frederick MD 20678-4019 |
| Mailing Address |
110 Hospital Road Suite 310 Prince Frederick MD 20678-4041 |
| Practice Telephone | 4105352005 |
| Practice Fax Number | 4105355761 |
| Mailing Telephone | 4105352005 |
| Mailing Fax Number | 4105355761 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2017-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C05217 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 HOSPITAL RD SUITE 310 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1497381586 | Ashly Gray | Nurse Practitioner | 110 Hospital Rd, Prince Frederick, MD 20678-4019 | 2020-03-20 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1376936823 | Calvert Internal Medicine Group, Pa | Nurse Practitioner | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2015-03-09 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1144501008 | Kanayo Ekeada | Pharmacist | 110 Hospital Rd, Suite 100, Prince Frederick, MD 20678-4019 | 2011-09-06 |
| 1528361987 | Mukesh N Mathur,md,pa. | Internal Medicine | 110 Hospital Rd, Suite-305, Prince Frederick, MD 20678-4019 | 2010-12-07 |
| 1750604104 | Saad Abdul Haque | Internal Medicine | 110 Hospital Rd, Suite 210, Prince Frederick, MD 20678-4019 | 2010-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396813960 | Kelly Leigh Mack | Physician Assistant | 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 | 2006-12-01 |
| 1164899241 | Kenneth L Ferrera | Physician Assistant | 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678-3198 | 2015-08-25 |
| 1295774438 | John W. Leroy | Physician Assistant | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-05 |
| 1215976402 | Barry L. Myers | Physician Assistant | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-06-05 |
| 1457305682 | Christina A Athens | Physician Assistant | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767227 | Merlyn Angella Boakai | Physician Assistant | 800 Sero Pine Ln, Fort Washington, MD 20744-5954 | 2020-07-08 |
| 1831730878 | Jennifer Bacher | Physician Assistant | 1185 Imperial Dr Ste 201, Hagerstown, MD 21740-6673 | 2019-10-01 |
| 1831747971 | Miriam Noelle Meiser | Physician Assistant | 10750 Columbia Pike Unit 401a, Silver Spring, MD 20901-4402 | 2019-09-02 |
| 1285296913 | Mary Furda | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 | 2019-07-02 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1467012369 | Molly Uebele Harrigan | Physician Assistant | 5225 Pooks Hill Rd Apt 1007n, Bethesda, MD 20814-2041 | 2019-06-13 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1093287260 | Carolina Radzyminska Johnson | Physician Assistant | 10750 Columbia Pike Ste 401, Silver Spring, MD 20901-4402 | 2018-12-27 |
| 1962971309 | Emmy L Estrada | Physician Assistant | 12150 Annapolis Rd Ste 208, Glenn Dale, MD 20769-9183 | 2018-11-14 |
| 1982170833 | Barbara Argyros | Physician Assistant | 1415 S. Mountain Road, Suite 100, Joppa, MD 21085 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.