SAMANTHA RENEE BEDDOW NPI 1114811445

NPI Information

  • NPI: 1114811445
  • Provider Name: SAMANTHA RENEE BEDDOW
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4760 BELPAR ST NW
    CANTON, OH
    ZIP 44718
  • Phone: (330) 492-9200

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NPI Details

Samantha Renee Beddow is a medical physician assistant in Canton, OH with 1 years of experience. Samantha Renee Beddow NPI is 1114811445. 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:

4760 BELPAR ST NW
CANTON, OH
ZIP 44718-603
Phone: (330) 492-9200

The NPI 1114811445 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 6/3/2025 and was last updated on 6/16/2025.

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
1363AM0700XPhysician AssistantMedicalAPP-000968596OHIOYes

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: 11/21/2025

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