SAMANTHA QUILLEN (NPI# 1083018915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083018915 |
| Entity Type | Individual |
| Full Name | SAMANTHA QUILLEN |
| Credential | CNP |
| Practice Address |
400 Medical Park Dr Suite 201 Dover OH 44622-3207 |
| Practice Telephone | 3303437709 |
| Practice Fax Number | 3303641538 |
| Mailing Telephone | 3303437709 |
| Mailing Fax Number | 3303641538 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.16577-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 MEDICAL PARK DR SUITE 201 |
| City | DOVER |
| State | OH |
| Zip Code | 44622-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073946422 | Jacob Werkin | Surgery | 400 Medical Park Dr, Dover, OH 44622-3207 | 2013-08-20 |
| 1659675791 | Staci Marie Marshall | Nurse Practitioner | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2011-01-04 |
| 1922231240 | Nicholas R Groch Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1831322155 | Melanie L Pence Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1558525998 | Miguel D Montagnese | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2008-07-15 |
| 1003073297 | Cardiovascular Consultants, Inc. | Internal Medicine | 400 Medical Park Dr, Dover, OH 44622-3207 | 2008-05-16 |
| 1124036793 | Robert M Levitt | Specialist | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2006-08-03 |
| 1710938659 | Regional Vascular & Vein Institute, Inc | Surgery | 400 Medical Park Dr, Ste 203, Dover, OH 44622-3207 | 2006-05-15 |
| 1427039163 | Joseph N Zemis | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2005-11-09 |
| 1457347619 | Kristi M Leindecker | Family Medicine | 400 Medical Park Dr, Suite 201, Dover, OH 44622-3207 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436300 | Constance Crane | Nurse Practitioner | 1711 Windswept Ct, Dover, DE 19901-5854 | 2020-10-28 |
| 1649870627 | Anita L Tyndall | Nurse Practitioner | 200 Banning St Ste 250, Dover, DE 19904-3492 | 2020-10-28 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1023631504 | Emily Reneker | Nurse Practitioner | 314 E 13th St, Dover, OH 44622-1126 | 2020-05-19 |
| 1295362333 | Melanie L Sciarra | Nurse Practitioner | 125 Greentree Dr Ste 1, Dover, DE 19904-7656 | 2020-03-26 |
| 1023655842 | Reny Varghese | Nurse Practitioner | 1225 Walker Rd # 6541, Dover, DE 19904-6541 | 2019-12-01 |
| 1205488988 | Sarah A Walsh | Nurse Practitioner | 17 Old Rollinsford Rd Ste 5, Dover, NH 03820-2821 | 2019-07-12 |
| 1891266250 | Misty Renee May | Nurse Practitioner | 1114 S Dupont Hwy Ste 104, Dover, DE 19901-4401 | 2018-12-11 |
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1043761372 | Amber Dunlap-ott | Nurse Practitioner | 927 Chelsea Dr, Dover, OH 44622-1504 | 2016-10-21 |
| Find all providers in DOVER | ||||
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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.