MS. SAMANTHA L ELICH (NPI# 1518304567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518304567 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA L ELICH |
| Credential | PA-C |
| Practice Address |
1435 Cambridge Street Cambridge MA 02139-1047 |
| Mailing Address |
1493 Cambridge Street Cambridge MA 02139-1047 |
| Practice Telephone | 6176651430 |
| Mailing Telephone | 6176651000 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA4712 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1435 CAMBRIDGE STREET |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827058 | Anupa Manjunatha | Physician Assistant | 33 Rogers St Apt 210, Cambridge, MA 02142-1516 | 2020-09-24 |
| 1083263594 | Katherine Lemons | Physician Assistant | 6 Crawford St Apt 10, Cambridge, MA 02139-1644 | 2019-09-06 |
| 1790346674 | Heather Ann Borden | Physician Assistant | 87 New St Unit 207, Cambridge, MA 02138-1287 | 2019-06-22 |
| 1902331408 | Celia Alexandra Charlois | Physician Assistant | 169 Monsignor Obrien Hwy, Apt 805, Cambridge, MA 02141-1289 | 2017-04-22 |
| 1609244078 | Shawna Young | Physician Assistant | 817 Main St N, Cambridge, MN 55008-1275 | 2015-09-02 |
| 1912239468 | Jeffrey Eric Stark | Physician Assistant | 35 Gilbert Street, Cambridge Medical Center, Cambridge, NY 12816-2618 | 2010-02-09 |
| 1902418411 | Emily Grace Yanico | Physician Assistant | 1330 Clark St, Cambridge, OH 43725-9614 | 2020-08-18 |
| 1043833221 | Nicholas D Gottshall | Physician Assistant | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2020-05-22 |
| 1760029342 | Christina Leahy | Physician Assistant | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2019-12-03 |
| 1184261745 | Julianne Grace James | Physician Assistant | 1515 Maple Dr, Cambridge, OH 43725-1162 | 2019-12-03 |
| Find all providers in CAMBRIDGE | ||||
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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.