Individual provider Active NPI

Samantha Jo Sachs, PA

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1093780637
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA002126L Issued in PA
Practice address
5115 Centre Ave
3Rd Floor
Pittsburgh, PA 15232-1301
Phone
(412) 235-1020
Fax
(412) 235-1030
NPI assigned
Feb 17, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA002126L PA Primary

Addresses

Primary practice location

5115 Centre Ave
3Rd Floor
Pittsburgh, PA 15232-1301

Mailing address

2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706

Other identifiers 2

IdentifierTypeStateIssuer
1567257MedicaidPA
1479005OtherPAHIGHMARK SECURITY BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1093780637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-235-1020",
            "fax_number": "412-235-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002126L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567257",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK SECURITY BLUE",
            "identifier": "1479005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.