Individual provider Active NPI

Samantha Isaac, PA

  • Physician Assistant
  • Vinton, IA
National Provider Identifier
1700327665
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
502 N 9TH Ave
Vinton, IA 52349-2254
Phone
(319) 472-6200
NPI assigned
Mar 12, 2017
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IA Primary

Addresses

Primary practice location

502 N 9TH Ave
Vinton, IA 52349-2254

Mailing address

502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sisaac@vghinc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20170724001765 IA Practitioner - Physician Assistant 5193095222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Gay Hospital IncGroup PAC ID 1759290331, 19 clinicians

Practice addresses (Care Compare)

401 Cardinal Ave
Atkins, IA 52206-4700
Phone (319) 446-7806

502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6200

504 N 9TH Ave
Vinton Family Medical Clinic
Vinton, IA 52349-2254
Phone (319) 472-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Gay Hospital, Inc CurrentSince Jul 11, 2017 Accepting new patients
Virginia Gay Hospital, Inc. CurrentSince Jul 11, 2017 Accepting new patients
Virginia Gay Hospital, Inc Current Accepting new patients

Locations

401 Cardinal Ave
Atkins, IA 52206
Phone (319) 446-6231

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

504 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6300

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1700327665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254",
            "telephone_number": "319-472-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254",
            "telephone_number": "319-472-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-12",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sisaac@vghinc.com",
            "affiliation": "N",
            "endpointDescription": "Atkins Family Medical Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 Cardinal Ave",
            "city": "Atkins",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522064700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

Verify at the official NPI Registry.