SAMANTHA WHITE (NPI# 1710453980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710453980 |
| Entity Type | Individual |
| Full Name | SAMANTHA WHITE |
| Credential | PA |
| Practice Address |
10650 Park Rd Ste 220 Charlotte NC 28210-8538 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7046673840 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-09065 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 282035866 | 7043730212 | |
| 200 Medical Park Dr, Ste 230, Concord, NC 280252982 | 7044031349 | |
| 2142 N Cove Blvd, Toledo, OH 436063895 | 4192914000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455900 | Samantha White | Registered Nurse | 34 Acorn Rd, Whitinsville, MA 01588-1380 | 2020-10-26 |
| 1720506538 | Samantha White | Occupational Therapist | 2408 Rhonda Ave, Tuskegee, AL 36083-2973 | 2017-08-31 |
| 1386002699 | Samantha White | Behavioral Analyst | 9695 E Kansas Cir Apt 42, Denver, CO 80247-2319 | 2016-02-01 |
| 1265875124 | Samantha Nicole White | Psychologist | 211 Swingle Building, Montana State University, Bozeman, MT 59717-3180 | 2013-04-10 |
| 1649535071 | Samantha White | Speech-Language Pathologist | 582 Highway 365 Ste 3, Mayflower, AR 72106-9525 | 2012-07-11 |
| 1306001268 | Samantha White | Counselor | 2333 N Pebble Creek Pkwy, Goodyear, AZ 85395-9046 | 2008-07-21 |
| 1710598602 | Samantha White | Registered Nurse | 4800 Friendship Ave, Pittsburgh, PA 15224-1722 | 2020-08-13 |
| 1285283242 | Samantha White | Music Therapist | 2130 Green Bay Rd, Evanston, IL 60201-3026 | 2019-09-11 |
| 1689237463 | Samantha Elizabeth White | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2019-04-17 |
| 1861965261 | Samantha L White | Behavior Technician | 313 Lennon Ln Ste 100, Walnut Creek, CA 94598-2460 | 2019-01-08 |
| Street Address |
10650 PARK RD STE 220 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881676567 | Thomas Henry Buter | Orthopaedic Surgery | 10650 Park Rd, Ste 120, Charlotte, NC 28210-8538 | 2005-11-17 |
| 1497388144 | Caitlin Muse | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2020-02-20 |
| 1881242253 | Ann Homa | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-08-29 |
| 1689135436 | Megan David | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2019-03-26 |
| 1184108037 | Jaclyn Baker | Nurse Practitioner | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-09-17 |
| 1023594884 | Kathryn Martin | Nurse Practitioner | 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 | 2018-07-16 |
| 1063909794 | Janet Arrazcaeta | Pharmacist | 10650 Park Rd, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1174010813 | Heather Rose | Physician Assistant | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2018-04-18 |
| 1306348081 | Hana Alqariab | Nurse Practitioner | 10650 Park Rd, Ste 420, Charlotte, NC 28210-8538 | 2018-03-08 |
| 1154839744 | Laurel Lynnette Drayton | Physician Assistant | 10650 Park Rd, Suite 320, Charlotte, NC 28210 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| 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 |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.