SAMANTHA KITCOFF


Address: 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256
Phone: 3179263739

SAMANTHA KITCOFF (NPI# 1477925071) 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) 1477925071
Entity Type Individual
Full Name SAMANTHA KITCOFF
Credential PA-C
Practice Address 8180 Clearvista Pkwy Ste 100
Indianapolis
IN 46256
Mailing Address 8180 Clearvista Pkwy Ste 100
Indianapolis
IN 46256-4649
Practice Telephone 3179263739
Mailing Telephone 3179038337
Enumeration Date 2015-10-22
Last Update Date 2019-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2849 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6570 Stage Rd, Suite 140, Bartlett, TN 381342839 9013724545

Office Location

Street Address 8180 CLEARVISTA PKWY STE 100
City INDIANAPOLIS
State IN
Zip Code 46256

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1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1447732557 Kathleen O'hara Marriage & Family Therapist 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 2018-09-05
1205313608 Healing Bridges Counseling, LLC Marriage & Family Therapist 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 2018-07-27
1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
1275074239 Jason Dempsey Hearing Instrument Specialist 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 2017-03-10
1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1083019954 Amy Rene Brant Marriage & Family Therapist 9953 Crosspoint Blvd, Indianapolis, IN 46256 2014-11-04
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124634936 Brilyn Michelle Banister Physician Assistant 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 2020-09-17
1386290625 Douglas R Day Physician Assistant 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 2019-08-13
1841851409 Rachel Jagrowski Physician Assistant 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 2019-06-25
1407311814 William Peter Thompson Physician Assistant 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 2019-02-11
1912492679 Katherine Barrett Tenbarge Physician Assistant 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 2018-06-26
1154843704 Jennifer Trapuzzano Physician Assistant 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 2017-07-14
1154879666 Grace Schultz Physician Assistant 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 2016-09-13
1386040046 Maham Mushtaq Physician Assistant 5759 James Blair Dr, Indianapolis, IN 46234-3226 2014-11-07
1285030924 Margaret Anne Voelker-park Physician Assistant 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 2014-11-07
1447650726 Bridget Williamson Physician Assistant 8282 Morel Dr, Indianapolis, IN 46256-8106 2014-08-25
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Competitor

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City INDIANAPOLIS
Zip Code 46256

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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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