Samantha Ghiselli MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SAMANTHA GHISELLI MD PLLC

Practice address

501 S Cherry St Ste 310
Glendale, CO 80246-1322

Phone

(303) 333-7873

Fax

(303) 321-7873

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Unchu Ring

Title

Practice Manage

Phone

(970) 390-6051

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Blackwood, M.D., M.S.

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1760749683
  Medicare reassignment Care Compare group NPD
• Jessica Mounessa Farahi, M.D.

  • Dermatology Physician
  • Denver, CO
  • NPI 1376075812
  Medicare reassignment Care Compare group NPD
• Samantha Fay Ghiselli, M.D.

  • MOHS-Micrographic Surgery Physician
  • Glendale, CO
  • NPI 1942212857
  Medicare reassignment Care Compare group NPD
• Fiona Zwald, MD

  • Dermatology Physician
  • Gainesville, GA
  • NPI 1487768883

  CO

  Medicare reassignment Care Compare group NPD
• Carrie E Cera Hill, MD

  • Dermatology Physician
  • Denver, CO
  • NPI 1841498391
  NPD

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1689253734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST STE 310",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461322",
            "telephone_number": "303-333-7873",
            "fax_number": "303-321-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST STE 310",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461322",
            "telephone_number": "303-333-7873",
            "fax_number": "303-321-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA GHISELLI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "UNCHU",
        "authorized_official_title_or_position": "PRACTICE MANAGE",
        "authorized_official_telephone_number": "970-390-6051"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "51663",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Robisheaux
• Elle Ross, D.O. PH.D. M.S.
• Willow Rubin, MA LPC LMFT
• Robert T Rudman, DDS MS
• Angela Salem
• Saraya Sampson, RN
• Grace Mogan Sanders, CCC-SLP
• Denise Michelle Schmidt
• Jennifer Anne Schroeder, LCSW
• Richard D Sego, LMT

• Dermatology Physician in Glendale, CO
• Providers in Glendale, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.