SAMANTHA REIDT (NPI# 1720481476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720481476 |
| Entity Type | Individual |
| Full Name | SAMANTHA REIDT |
| Practice Address |
30957 Lorraine Ave Warren MI 48093-8014 |
| Practice Telephone | 5865540117 |
| Mailing Telephone | 5865540117 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007128 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30957 LORRAINE AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48093-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
| 1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
| 1447331459 | Michelle Elizabeth Cruz | Physician Assistant | 2104 E 11 Mile Rd Ste 600, Warren, MI 48091-6123 | 2006-10-17 |
| 1003416165 | Alexis Rose Vavala | Physician Assistant | 1885 Market St, Warren, PA 16365-1277 | 2020-10-28 |
| 1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
| 1245758739 | Haley Hani Matty | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089 | 2017-09-05 |
| 1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
| 1942671169 | Stephanie Duda | Physician Assistant | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-10-14 |
| Find all providers in WARREN | ||||
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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.