Active NPI
Samantha Louise Coby, PA-C
- Physician Assistant
- Casa Grande, AZ
National Provider Identifier
1821306804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4716
- Practice address
- 1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5638 - Phone
- (520) 426-1512
- NPI assigned
- Sep 23, 2010
- Last updated
- Oct 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4716 | AZ | Primary |
Addresses
Primary practice location
1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5638
Mailing address
1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1637 E Monument Plaza Cir
Suite 1
Casa Grande, AZ 85122-5639
Phone (520) 426-1512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4716 | AZ | MD | Pediatric Occupational Therapist |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Casa Grande, AZ
- NPI 1881997484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1821306804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1637 E MONUMENT PLAZA CIR",
"address_2": "SUITE 1",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1637 E MONUMENT PLAZA CIR",
"address_2": "SUITE 1",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225638",
"telephone_number": "520-426-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBY",
"first_name": "SAMANTHA",
"middle_name": "LOUISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.