Active NPI
Samantha Cummins
- Physician Assistant
- Moosic, PA
National Provider Identifier
1942844329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA061137
- Practice address
- 340 Montage Mountain Rd
Moosic, PA 18507-1707 - Phone
- (570) 346-3686
- NPI assigned
- Oct 29, 2019
- 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 | MA061137 | PA | Primary |
Addresses
Primary practice location
340 Montage Mountain Rd
Moosic, PA 18507-1707
Mailing address
340 Montage Mountain Rd
Moosic, PA 18507-1707
Phone (570) 346-3686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1942844329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MONTAGE MOUNTAIN RD",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071707",
"telephone_number": "570-346-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MONTAGE MOUNTAIN RD",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071707",
"telephone_number": "570-346-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA061137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moosic, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.