DR. AMANDA JANE SAMPLE


Address: 2990 Mack Rd, Ste 110, Fairfield, OH 45014-5383
Phone: 5136038897

DR. AMANDA JANE SAMPLE (NPI# 1043449820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043449820
Entity Type Individual
Full Name DR. AMANDA JANE SAMPLE
Credential M.D.
Practice Address 2990 Mack Rd
Ste 110
Fairfield
OH 45014-5383
Practice Telephone 5136038897
Practice Fax Number 5138707172
Mailing Telephone 5136038897
Mailing Fax Number 5138707172
Enumeration Date 2009-07-14
Last Update Date 2018-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers AMANDA SAMPLE

NPI Name Taxonomy Address Enumeration
1831409713 Amanda E Sample Case Manager/Care Coordinator 5 Cumloden Dr, Falmouth, MA 02540-1605 2010-10-13
1891195137 Amanda Sample Pharmacist 10580 W Ustick Rd, Store #5184, Boise, ID 83704-5267 2014-08-22

Office Location

Street Address 2990 MACK RD
STE 110
City FAIRFIELD
State OH
Zip Code 45014-5383

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558327445 Mercy Ambulatory Surgery Center Ltd Clinic/Center 2990 Mack Rd, Fairfield, OH 45014-5383 2006-04-21
1457490872 Hsc Surgical Associates Clinic/Center 2990 Mack Rd, Suite 203, Fairfield, OH 45014-5383 2007-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326526872 Megan Coleen Hamill Registered Nurse 6570 Sosna Drive, Fairfield, OH 45014 2018-08-06
1831695642 James Grant Walther Contractor 16408 Jeanie Drive, Aurora, IN 45014 2018-04-02
1104339837 Tamara Rochester Registered Nurse 5474 Yellowstone Dr, Fairfield, OH 45014 2017-11-16
1104335892 Barbara Johnson Registered Nurse 2853 Saturn Drive, Fairfield, OH 45014 2017-09-25
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1669916789 Lacretia Ancona In Home Supportive Care 700 Wessel Dr #181505, Fairfield, OH 45014 2016-12-08
1134676299 Lynne Mutuku Licensed Practical Nurse 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 2016-09-07
1104291020 Mimi Supportive Hands .llc Home Health 6 Ridge Dr Apt 203, Cincinnati, OH 45014 2015-12-03
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1093193278 Ashli Tanner Specialist/Technologist 8790 N. Gilmore Rd., Fairfield, OH 45014 2015-05-08
Find all providers in zip 45014

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407466493 Lizbeth Padilla Student in an Organized Health Care Education/Training Program 1125 Hayes St, Fairfield, CA 94533-4707 2020-08-04
1003426024 Rebecca M Dance Student in an Organized Health Care Education/Training Program 5752 David Pl, Fairfield, OH 45014-3508 2020-08-04
1942819826 Lauren J Cotton Student in an Organized Health Care Education/Training Program 1073 North Benson Road, Fairfield, CT 06824 2020-07-28
1396368585 Sadek Debwan Student in an Organized Health Care Education/Training Program 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 2020-05-21
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1023647989 Maggie Giambalvo Student in an Organized Health Care Education/Training Program 752 Towne House Rd, Fairfield, CT 06824-1819 2020-04-03
1518503689 Greta Jones Student in an Organized Health Care Education/Training Program 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 2019-11-22
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1427600550 Nancy Ivette Bocanegra Student in an Organized Health Care Education/Training Program 1607 Clay St, Fairfield, CA 94533-3808 2019-07-09
1013481316 Raquel Marie Divincenzo Student in an Organized Health Care Education/Training Program 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 2019-01-20
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 45014

Improve Information

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Dataset Information

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.

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