SAMANTHA LYNN DENOVILLE (NPI# 1982194551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982194551 |
| Entity Type | Individual |
| Full Name | SAMANTHA LYNN DENOVILLE |
| Credential | PA |
| Practice Address |
1 Kensington Ct Jackson NJ 08527-1292 |
| Practice Telephone | 9086929788 |
| Mailing Telephone | 9086929788 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 KENSINGTON CT |
| City | JACKSON |
| State | NJ |
| Zip Code | 08527-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
| 1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
| 1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
| 1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
| 1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
| 1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
| 1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
| 1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
| Find all providers in zip 08527 | ||||
| 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 |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| 1770030611 | Eric Marshall | Physician Assistant | 1100 E Michigan Ave Ste 201, Jackson, MI 49201-1849 | 2016-09-08 |
| Find all providers in JACKSON | ||||
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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.