SAMANTHA JEAN PISARSKI PA-C NPI 1457975153

NPI Information

NPI: 1457975153
Provider Name: SAMANTHA JEAN PISARSKI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6810 STATE ROUTE 162 STE 10
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-2020
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Samantha Jean Pisarski, PA-C is a surgical physician assistant in Maryville, IL with 4 years of experience. Samantha Jean Pisarski, PA-C NPI is 1457975153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6810 STATE ROUTE 162 STE 10
MARYVILLE, IL
ZIP 62062-587
Phone: (618) 288-2020

The NPI 1457975153 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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