Samuel Zitnyar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

14821 Dayton Pike Ste B
Sale Creek, TN 37373-5752

Phone

(423) 497-5070

NPI assigned

Mar 13, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Health Partners Foundation Inc 458 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.zitnyar.1@29367.direct.athenahealth.com
• Direct secure messaging: samuelzitnyar@tnmhpf.allscriptsdirect.net
• Direct secure messaging: szitnyar397832@direct.stlukeshealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545

  TN

  Medicare reassignment Care Compare group NPD
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  Care Compare group NPD
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • La Fayette, GA
  • NPI 1760632780
  Care Compare group NPD
• Fast Access Healthcare

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1063619997

  TN

  Medicare reassignment
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • Dayton, TN
  • NPI 1144633397
  Care Compare group
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • Spring City, TN
  • NPI 1477846954
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633

  Hospital

  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647129600000",
    "number": "1023766623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CANYON SPRINGS DR",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 DAYTON PIKE STE B",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373735752",
            "telephone_number": "423-497-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITNYAR",
        "first_name": "SAMUEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sale Creek Family Practice, PLLC
• Sale Creek Pharmacy, Inc
• Sale Creek Primary Care, PLLC
• Jarrett Swafford, PHARM D.
• Micayla Grace Thompson, DPT

• All providers in Sale Creek, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.