SAMANTHA MCNAIL (NPI# 1902844459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844459 |
| Entity Type | Individual |
| Full Name | SAMANTHA MCNAIL |
| Credential | M.D. |
| Practice Address |
1223 Maple St Farmington MO 63640-7616 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 5737608811 |
| Practice Fax Number | 5737608844 |
| Mailing Telephone | 8666309882 |
| Mailing Fax Number | 9206825810 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2006001565 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1223 MAPLE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-7616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558321554 | Darrell L Griffin | Dermatology | 1223 Maple St, Farmington, MO 63640-7616 | 2006-03-24 |
| 1003290156 | Forefront Dermatology, S.c. | Dermatology | 1223 Maple St, Farmington, MO 63640 | 2015-07-17 |
| 1013954676 | Southeast Missouri Dermatology, PC | Dermatology | 1223 Maple St, Farmington, MO 63640-7616 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1497160535 | Dean David George | Dermatology | 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 | 2014-06-27 |
| 1003176934 | Aaron Michael Secrest | Dermatology | 165 N University Ave, Farmington, UT 84025-2990 | 2012-05-25 |
| 1326124652 | David A Baird | Dermatology | 23133 Orchard Lk Rd, Farmington, MI 48336 | 2006-10-30 |
| 1558321554 | Darrell L Griffin | Dermatology | 1223 Maple St, Farmington, MO 63640-7616 | 2006-03-24 |
| 1881041556 | Malcolm Creighton-smith | Dermatology | 21 South Rd, Farmington, CT 06032-2482 | 2016-05-23 |
| 1467833202 | Michael Storonsky | Dermatology | 21 South Rd, Suite 200, Farmington, CT 06032-2482 | 2015-06-17 |
| 1093193161 | Girish Chintamani Mohan | Dermatology | 399 Farmington Ave, Ste 260, Farmington, CT 06032-1979 | 2015-05-11 |
| 1649664731 | Andrew Kelsey | Dermatology | 263 Farmington Ave, Farmington, CT 06032-1956 | 2015-03-26 |
| 1033520556 | Hao Feng | Dermatology | 21 South Road, Farmington, CT 06030 | 2014-05-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.