Samantha Gore (NPI# 1932573045, PAC ID# 8628362381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1932573045 |
| PAC ID by PECOS | 8628362381 |
| Professional Enrollment ID | I20160803002928 |
| Full Name | Samantha Gore |
| Organization Legal Name | LIVE OAK FAMILY HEALTH, P.A. |
| Address |
1417 E Walnut St Suite 600 Seguin TX 78155-5184 |
| Phone Number | 8303795200 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981729712 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450104 | GUADALUPE REGIONAL MEDICAL CENTER |
| 450237 | CHRISTUS SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 | 8303795200 | LIVE OAK FAMILY HEALTH, P.A. |
| 205 N King St, Suite 200, Seguin, TX 78155-5836 | 8303795200 | LIVE OAK FAMILY HEALTH, P.A. |
| Organization Legal Name | LIVE OAK FAMILY HEALTH, P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Sullivan | Family Medicine | Live Oak Family Health, P.a. | 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 |
| Street Address |
1417 E WALNUT ST SUITE 600 |
| City | SEGUIN |
| State | TX |
| Zip | 78155-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Sullivan | Family Medicine | Live Oak Family Health, P.a. | 1417 E Walnut St, Suite 600, Seguin, TX 78155-5184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Steven White | Orthopedic Surgery | 280 S King, Seguin, TX 78155 | |
| Melchor D Villarreal | Clinical Social Worker | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Mary L Trevino | Psychologist, Clinical | Autumn View Alliance, LLC | 131 Mckinley Rd, Seguin, TX 78155-0480 |
| Susan L Boullioun | Family Medicine | 113 E Cedar St, Seguin, TX 78155-3709 | |
| Dominic Anthony Scaramozi | Chiropractic | 1300 N King St, Pecan Country Chiropractic, Seguin, TX 78155-3820 | |
| Pamela A Tackett | Chiropractic | 1367 E College St, Seguin, TX 78155-3962 | |
| Charles J White | Podiatry | 1345 E College St, Seguin, TX 78155-3962 | |
| John M Flanagan | Chiropractic | 757 N Hwy 123 Bypass, Seguin, TX 78155-3986 | |
| Tom H Raetzsch | Family Medicine | 1025 N Austin St, Seguin, TX 78155-4517 | |
| Teresa L Quebedeaux Farnham | Podiatry | 1345 E College St, Seguin, TX 78155-4562 | |
| Find all physicians in zip 78155 | |||
| City | SEGUIN |
| Zip Code | 78155 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SEGUIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Samantha Gore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.