SAMANTHA WALDECK (NPI# 1700388931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700388931 |
| Entity Type | Individual |
| Full Name | SAMANTHA WALDECK |
| Credential | APRN, CNP |
| Practice Address |
26900 Cedar Rd Beachwood OH 44122-1191 |
| Mailing Address |
67 Trumbull Dr Hudson OH 44236-2731 |
| Practice Telephone | 2168393904 |
| Mailing Telephone | 3303910390 |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022429 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26900 CEDAR RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-1191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067939 | Nayyer Homa Varghai | Family Medicine | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2005-10-19 |
| 1164042099 | Lori Scarso | Specialist | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2020-04-21 |
| 1407481344 | Dana Severin | Family Medicine | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2020-03-11 |
| 1013540483 | Laura Nikole Erskine Penix | Nurse Practitioner | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2020-02-13 |
| 1396301396 | Iryna Smolen | Physician Assistant | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2019-05-15 |
| 1033698022 | Valentina S Lim | Pharmacist | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2018-08-09 |
| 1649760778 | Kathleen Anne Kelly | Audiologist | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2018-05-15 |
| 1831608413 | Dana Marie Arch | Social Worker | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2017-09-26 |
| 1376075234 | Jennifer Williams | Physical Therapist | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2017-03-30 |
| 1427594910 | Julia Farber | Pharmacist | 26900 Cedar Rd, Beachwood, OH 44122-1191 | 2017-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414111 | Shenika Todd | Nurse Practitioner | 27030 Cedar Rd Apt 403, Beachwood, OH 44122-1120 | 2020-10-12 |
| 1013488089 | Elizabeth Olayinka Akinlolu | Nurse Practitioner | 1324 Longboat Ave, Beachwood, NJ 08722-4304 | 2018-12-16 |
| 1013492701 | Samantha May Wilson | Nurse Practitioner | 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122-5567 | 2018-09-27 |
| 1578068797 | Loni Nicole Paulic | Nurse Practitioner | 3733 Park East Dr Ste 105, Beachwood, OH 44122-4337 | 2018-03-28 |
| 1225536998 | Taylor Layne Hanzs | Nurse Practitioner | 26949 Chagrin Blvd Ste 300, Beachwood, OH 44122-4230 | 2018-01-29 |
| 1659879484 | Toni Wilcox | Nurse Practitioner | 14513 Cedar Rd, Beachwood, OH 44122-1001 | 2018-01-26 |
| 1124532445 | Brittany Lynn Miller | Nurse Practitioner | 26949 Chagrin Blvd Ste 306, Beachwood, OH 44122-4230 | 2017-11-22 |
| 1982855714 | Nicole Dione Berry | Nurse Practitioner | 2577 Richmond Rd, Beachwood, OH 44122 | 2008-10-10 |
| 1154578722 | Heidi A Goodwin | Nurse Practitioner | 3909 Orange Place, Beachwood, OH 44122 | 2008-08-26 |
| 1184720419 | Janice J Palechka | Nurse Practitioner | 28100 Chagrin Blvd, Beachwood, OH 44122-4522 | 2006-09-15 |
| Find all providers in BEACHWOOD | ||||
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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.