Active NPI
Molly A Samuels, RPA-C
- Medical Physician Assistant
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA052541
- Practice address
- 16792 Conneaut Lake Road
Oncology Wellness Institute, MMC
Meadville, PA 16335-2850 - Phone
- (814) 373-2335
- Fax
- (814) 373-2338
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 011706 | NY | |
| Medical Physician Assistant | 363AM0700X | 011706 | NY | |
| Medical Physician Assistant | 363AM0700X | MA052541 | PA | Primary |
| Surgical Physician Assistant | 363AS0400X | 011706 | NY |
Addresses
Primary practice location
16792 Conneaut Lake Road
Oncology Wellness Institute, MMC
Meadville, PA 16335-2850
Mailing address
612 Williamson Rd
Meadville, PA 16335-2850
Phone (814) 807-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Practice addresses (Care Compare)
1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345
16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335
Hospital & facility affiliations
- Meadville Medical Center
- Titusville Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Medical Center | Current | Accepting new patients | |
| Meadville Medical Center | Current | Accepting new patients | |
| Laser Eye Surgery of Erie, Inc | Past | Accepting new patients | |
| Hospice of Crawford County Inc | Past | Accepting new patients |
Locations
16792 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 373-2335
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
16792 Conneaut Lake Rd
#G
Meadville, PA 16335
Phone (814) 373-2335
Interoperability endpoints
- molly.samuels@directaddress.net
Organizations & group practices 6
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.
-
- Hematology & Oncology Physician
- Meadville, PA
- NPI 1326139775
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Meadville, PA
- NPI 1124419155
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
-
- Community Based Hospice Care Agency
- Meadville, PA
- NPI 1629045059
-
- Ophthalmology Physician
- Erie, PA
- NPI 1588751713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1376597492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 WILLIAMSON RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352850",
"telephone_number": "814-807-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16792 CONNEAUT LAKE ROAD",
"address_2": "ONCOLOGY WELLNESS INSTITUTE, MMC",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352850",
"telephone_number": "814-373-2335",
"fax_number": "814-373-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "MOLLY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011706",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "011706",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA052541",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "011706",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.