Samantha Kibler, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

7337 Caritas Cir NW Ste 150
Massillon, OH 44646-9128

Phone

(330) 478-0001

Fax

(330) 837-2646

NPI assigned

Oct 6, 2020

Last updated

Oct 14, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Ohio Medical University, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aultman Cancer Care LLCGroup PAC ID 0143611897, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
• Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score

88.39 of 100Reported as group

Quality

77.5

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Merit-based Incentive Payment System (MIPS)

Final score

89.96 of 100Reported as group

Quality

77.5

Promoting interoperability

99

Improvement activities

40

Cost

74.58

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

77.5

Promoting interoperability

98

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.kibler@direct.aultman.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aultman Cancer Care LLC

  dba Aultman Hematology & Oncology

  • Oncology Clinic/Center
  • Canton, OH
  • NPI 1043883028
  Medicare reassignment Care Compare group
• Ohio Specialty Physicians Corporation

  • Surgery Physician
  • Canton, OH
  • NPI 1285745364
  Medicare reassignment NPD
• Ohio Physician Professional Corporation

  dba Surgical Associates of Canton

  • Hospitalist Physician
  • Canton, OH
  • NPI 1417016973
  Medicare reassignment
• Tri-County Hematology & Oncology Associates Inc

  • Hematology & Oncology Physician
  • Massillon, OH
  • NPI 1578600201
  Medicare reassignment
• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  NPD
• Tri-County Hematology and Oncology Associates

  • Hematology & Oncology Physician
  • Massillon, OH
  • NPI 1891405098
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1699372383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW STE 150",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469128",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 CARITAS CIR NW STE 150",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469128",
            "telephone_number": "330-478-0001",
            "fax_number": "330-837-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "secure13.oncoemr.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7337 Caritas Cir NW Ste 150",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446469128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hallie Kester
• Taylor Layne Kettering, APRN
• Delishia Dene Keys
• Jamil Khouri, M.D
• Julia Elizabeth Kiba, LPN
• Kicos Wellness Center, Inc.
• Connie Marie Kiefer
• Paula Kimble
• Marilyn Payne Kimbrel, LPCC
• Kingnaps Inc (Medicap Pharmacy)

• Medical Physician Assistant in Massillon, OH
• Providers in Massillon, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.