SAMANTHA REIDT


Address: 30957 Lorraine Ave, Warren, MI 48093-8014
Phone: 5865540117

SAMANTHA REIDT (NPI# 1720481476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601007128 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 30957 LORRAINE AVE
City WARREN
State MI
Zip Code 48093-8014

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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WARREN
Zip Code 48093

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Dataset Information

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.

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