SAMANTHA MARIE DUBAY


Address: 1717 Shipyard Blvd, Wilmington, NC 28403-8023
Phone: 9107941717

SAMANTHA MARIE DUBAY (NPI# 1225636947) 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) 1225636947
Entity Type Individual
Full Name SAMANTHA MARIE DUBAY
Credential PA-C
Practice Address 1717 Shipyard Blvd
Wilmington
NC 28403-8023
Mailing Address 3102 Seth Williams Blvd
Camp Lejeune
NC 28547-1403
Practice Telephone 9107941717
Mailing Telephone 2073169049
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AM0700X Physician Assistant
Specialization: Medical
NC Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2131 S 17th St, Wilmington, NC 284017407 9106677000

Office Location

Street Address 1717 SHIPYARD BLVD
City WILMINGTON
State NC
Zip Code 28403-8023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274614 Joseph F Huppmann Dermatology 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 2005-06-08
1659889780 Rhonda Harrelson Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2018-01-10
1083129050 Jennifer Walker Specialist/Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1063927036 Mariah Jacobs Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1841705811 Jennifer Hester Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1346607066 Summit Cosmetic Surgery Center Specialist 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8023 2016-01-26
1114300027 Amber L. Smith Radiologic Technologist 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403 2015-07-09
1942694302 Cynthia Markley Caster Radiologic Technologist 1717 Shipyard Blvd, #350, Wilmington, NC 28403 2015-03-24
1851685010 Shoreline Physical Therapy, LLC Physical Therapist 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8023 2011-06-06
1215177878 Michelle Lewis Mayo Physician Assistant 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28401-8023 2009-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255757936 Megan Lenore Mcnamara Physician Assistant 2504 Delaney Ave, Wilmington, NC 28403-6002 2014-03-05
1659597870 Todd Francis Cox Cecchini Physician Assistant 7th & Clayton, Wilmington, DE 19805 2007-04-17
1124162581 Robert Sean Hensler Physician Assistant 2800 Ashton Dr Ste 100, Wilmington, NC 28412-2486 2007-02-19
1154386340 Yvonne Desmet Physician Assistant 1025 Medical Center Dr., Suite 201, Wilmington, NC 28401-7354 2006-04-19
1417912007 Jeffrey Probst Physician Assistant 2800 Ashton Dr, Wilmington, NC 28412-2575 2006-04-18
1033171962 Michele Deeley Stavovy Physician Assistant 1202 Medical Center Drive, Wilmington, NC 28401-7307 2006-04-05
1164428041 Ryan Murphy Physician Assistant 5220 Oleander Dr, Second Floor, Wilmington, NC 28403-7021 2005-06-24
1255967824 Robert Nelson Physician Assistant 5220 Oleander Dr, Wilmington, NC 28403-7021 2020-03-16
1023590502 Chase Jonathan Whelan Physician Assistant 2208 S 17th St Ste 201, Wilmington, NC 28401 2018-08-31
1477060614 Joshua William Ward Physician Assistant 2208 S 17th St Ste 201, Wilmington, NC 28401-7594 2018-01-09
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Competitor

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City WILMINGTON
Zip Code 28403

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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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