SAMANTHA N. DAVIS (NPI# 1801231931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801231931 |
| Entity Type | Individual |
| Full Name | SAMANTHA N. DAVIS |
| Credential | PA |
| Practice Address |
7979 N Shadeland Ave Suite 310 Indianapolis IN 46250-2042 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176213780 |
| Practice Fax Number | 3176213088 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001495A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR PTAN | P01261825 | 01 |
| IN | OPR | 201184040 | 01 |
| IN | 300007171 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938205 | Samantha Davis | Social Worker | 564 N Flauson Ave, Kuna, ID 83634-1279 | 2020-10-02 |
| 1124505276 | Samantha Davis | Behavior Technician | 7567 Amador Valley Blvd Ste 109, Dublin, CA 94568-2442 | 2018-07-22 |
| 1669986352 | Samantha Davis | Audiologist | 307 W Minnesota Park Rd Ste 4, Hammond, LA 70403-6148 | 2017-11-17 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1609248780 | Samantha Davis | Occupational Therapist | 286 Rose St, Belleville, WI 53508-9207 | 2015-10-28 |
| 1184094286 | Samantha Davis | Hearing Instrument Specialist | 1026 Andrews Run Apt H202, Hendersonville, TN 37075-1277 | 2015-10-01 |
| 1629497920 | Samantha Davis | Technician | 6703 Spencer Dr, Arlington, TX 76002-5546 | 2014-04-15 |
| 1285986943 | Samantha Morris Davis | Pharmacist | 124 Williams Ct, Mobile, AL 36606-1466 | 2012-10-04 |
| 1336430172 | Samantha Kathleen Davis | Community Health Worker | 925 Ne 20th St, Oklahoma City, OK 73105-8211 | 2011-04-27 |
| 1023646098 | Samantha Elizabeth Davis | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-03-27 |
| Street Address |
7979 N SHADELAND AVE SUITE 310 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1659819761 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 7979 N Shadeland Ave, Suite 110, Indianapolis, IN 46250-2042 | 2017-02-09 |
| 1134671340 | Jenna R Pulfer | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2016-11-04 |
| 1477928349 | Sarah Elizabeth Rayner | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2015-12-03 |
| 1699182352 | Courtney L Buratto | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-07-15 |
| 1083029474 | Lindsey M Addington | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1902211204 | Ashley E Regal | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1164861944 | Sandra S Staehler | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2013-06-14 |
| 1871848770 | Jolyn Marie Holliday Veza | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| 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 |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on SAMANTHA N. DAVIS.
| 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.