MS. SAMANTHA L CHANG (NPI# 1902232747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902232747 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA L CHANG |
| Credential | PA-C |
| Practice Address |
1850a Town Center Pkwy # 1 Suite 209 Reston VA 20190-5851 |
| Practice Telephone | 7034375532 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110005056 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PA LISCENSE | 0110005056 | 01 |
| FL | PHYSICIAN ASSISTANT LICENSE | PA9107537 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533546 | Samantha Emma Chang | Physical Therapist | 6320 W Union Hills Dr Ste 2200b, Glendale, AZ 85308-1375 | 2020-06-20 |
| 1821633868 | Samantha Chang | Emergency Medical Technician, Basic | 10 Happy Acres Dr, Shirley, NY 11967-3015 | 2019-11-13 |
| 1891310850 | Samantha Mimi Chang | Family Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2020-06-15 |
| 1902212087 | Samantha Chang | Dentist | 2310 Craven St, San Diego, CA 92136 | 2014-07-09 |
| 1922291020 | Samantha A. Chang | Family Medicine | 8170 Laguna Blvd, #215, Elk Grove, CA 95758-7901 | 2007-08-22 |
| Street Address |
1850A TOWN CENTER PKWY # 1 SUITE 209 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427487784 | Samantha Major Frazier | Physician Assistant | 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 | 2013-11-07 |
| 1053413385 | Elizabeth Hamilton Sibert | Physician Assistant | 11130 Sunrise Valley Dr, #150, Reston, VA 20191-4398 | 2006-09-05 |
| 1861433088 | Colleen Denise Kelley | Physician Assistant | 11234 Leatherwood Dr, Reston, VA 20191-4607 | 2006-06-09 |
| 1598322406 | Agata Alicja Greer | Physician Assistant | 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 | 2019-05-26 |
| 1528624772 | Madison Staub | Physician Assistant | 1939 Roland Clarke Pl Ste 200, Reston, VA 20191-1445 | 2019-05-14 |
| 1215415724 | Erin Leishman | Physician Assistant | 11800 Sunrise Valley Dr Ste 800, Reston, VA 20191-5320 | 2018-08-06 |
| 1104169507 | Ashley Rose Gilchrist | Physician Assistant | 1831 Wiehle Ave, Reston, VA 20190-5266 | 2013-04-03 |
| 1356697601 | Heather S Groves | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2012-07-24 |
| 1235413667 | Larry C Mack-wilson | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2011-10-04 |
| 1952553935 | Wendy Nichole Cohen | Physician Assistant | 12359 Sunrise Valley Dr, Suite 320, Reston, VA 20191-3462 | 2008-10-21 |
| Find all providers in RESTON | ||||
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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.