Samantha Jayne Roworth-Chaikin, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6278 Issued in TX

Practice address

703 E Marshall Ave Ste 4002
Longview, TX 75601-5622

Phone

(903) 315-3966

Fax

(903) 230-0795

NPI assigned

Dec 27, 2005

Sex

Female

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schaikin@shrft.gwaydirect.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JDFBDD/Endpoint/JDFBDD

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.

• Premiere Pediatrics PLLC

  • Pediatrics Physician
  • Longview, TX
  • NPI 1124721410
  Medicare reassignment NPD Authorized official
• Hallsville Medical Clinic PLLC

  • General Practice Physician
  • Hallsville, TX
  • NPI 1295406775
  Medicare reassignment NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1295712719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3662",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756063662",
            "telephone_number": "903-315-3966",
            "fax_number": "903-230-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE STE 4002",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015622",
            "telephone_number": "903-315-3966",
            "fax_number": "903-230-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWORTH-CHAIKIN",
        "first_name": "SAMANTHA",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hilliard Rotzler, M.D.
• Melanie Roudkovski, PH.D., LPC-S
• Carly Melissa Rowan
• Roger Lee Rowe, DC
• Marquita Rowland, LCSW
• Roy a Francis Dba Texas O2 Testing
• Tameka Royal, FNP-C
• Glen Royall
• Kelly Denise Royce, APRN, CNM
• Holly Kristina Royer, FNP-C

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.