SAMANTHA HAMMOCK (NPI# 1588110100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588110100 |
| Entity Type | Individual |
| Full Name | SAMANTHA HAMMOCK |
| Credential | PA-C, ATC |
| Practice Address |
301 Saint Paul St Baltimore MD 21202-2102 |
| Mailing Address |
618 S Hanover St Apt 2 Baltimore MD 21230-3870 |
| Practice Telephone | 4103329717 |
| Mailing Telephone | 7577496079 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 SAINT PAUL ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173436 | Hwan Young Yoo | Internal Medicine | 301 Saint Paul St, Suite 718, Baltimore, MD 21202-2102 | 2005-09-08 |
| 1336790021 | Haley Ann Jacobs | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-09-24 |
| 1992365902 | Angeline Kathleen Williams | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-06-20 |
| 1508424128 | Judy Aivette Moreno | Nurse Practitioner | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2019-05-29 |
| 1497221147 | Vanessa De Assis | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-21 |
| 1134695141 | Dennise Ramirez | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-10-17 |
| 1558844134 | Marie Lockard | Physician Assistant | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-09-10 |
| 1316428782 | Christina Santos Garcia | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-23 |
| 1366922643 | Julianne Katherine Cannon | Physical Therapist | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2018-08-16 |
| 1437674405 | Brittany Dashiell | Orthopaedic Surgery | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2017-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306341540 | Sunil Harris | Physician Assistant | 22 S. Green St, University of Maryland Medical Center, Baltimore, MD 21201-1595 | 2018-03-29 |
| 1134639263 | Liz Ramirez | Physician Assistant | 1101 E 33rd St, Baltimore, MD 21218-3637 | 2017-10-03 |
| 1093231755 | Daniel Gentry | Physician Assistant | 301 Saint Paul St Ste Pob 802, Baltimore, MD 21202-2102 | 2017-08-15 |
| 1174051353 | Nam Anh Pham | Physician Assistant | 227 Saint Paul St Fl 6, Baltimore, MD 21202-2001 | 2017-05-31 |
| 1528516879 | Chesapeake Bay Surgical Assistants | Physician Assistant | 6814 Chand Ct, Baltimore, MD 21237-3869 | 2016-09-15 |
| 1598172801 | Krista D Aghazarian | Physician Assistant | 227 Saint Paul St Fl 5, Baltimore, MD 21202-2001 | 2014-07-18 |
| 1831525997 | Michael Prada | Physician Assistant | 301 St. Paul Place, Lower Level, Maryland Spine Center At Mercy, Baltimore, MD 21202 | 2013-09-20 |
| 1871862748 | Arifa Rabia Sattar | Physician Assistant | 2900 S Hanover St Ste 105, Baltimore, MD 21225-1232 | 2011-12-22 |
| 1316180128 | Stanislav Mihaylov Stanislavov | Physician Assistant | 601 N Caroline St Fl 5, Baltimore, MD 21287-0006 | 2009-04-08 |
| 1780846402 | Annie Wong Kowalis | Physician Assistant | 2435 W Belvedere Avenue, Suite 42, Baltimore, MD 21215-5224 | 2008-06-25 |
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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.