Samantha Parnell, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04153 Issued in TX

Practice address

2313 Parkhaven Dr
Plano, TX 75075-2014

Phone

(972) 768-7337

Fax

(972) 202-0408

NPI assigned

Mar 29, 2006

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

Other identifiers 2

Other names 1

• Samantha Bolduc Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1504/brand/5/csg/87/fhir/r4

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.

• Robotic and Surgical Assistants

  • Surgical Physician Assistant
  • Plano, TX
  • NPI 1346596079
  NPD
• Cardiovascular Specialty Associates of North Texas, P.a.

  • Vascular Surgery Physician
  • Rockwall, TX
  • NPI 1780851915
  NPD (past)
• Surgical Assistants of Dallas Supplies, LLC

  • Surgical Physician Assistant
  • Dallas, TX
  • NPI 1255596086
  NPD (past)
• Surgical Assisting Services, PLLC

  • Surgical Physician Assistant
  • Colleyville, TX
  • NPI 1619091881
  NPD (past)
• Asheville Imaging LLP

  • Diagnostic Radiology Physician
  • Asheville, NC
  • NPI 1295788974
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1609837871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 PARKHAVEN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752014",
            "telephone_number": "972-768-7337",
            "fax_number": "972-202-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 PARKHAVEN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752014",
            "telephone_number": "972-768-7337",
            "fax_number": "972-202-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNELL",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, TYPE UNSPECIFIE",
            "identifier": "8C6454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y1927",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BOLDUC",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Parkwood Dental Associates P.a.
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• Rajiv Parmar, M.D.
• Parnell Surgical Assisting, LLC
• Edward L Parry, MD
• Brenna Chang Parsell, D.D.S.
• Partner With Agape
• Partners Adult Day Center LLC
• Partners Anesthesia PLLC

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2012; 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.