SAMANTHA AUDREY MCDOUGAL PA-C NPI 1821656174

NPI Information

  • NPI: 1821656174
  • Provider Name: SAMANTHA AUDREY MCDOUGAL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1475 MEDICAL PKWY
    CARSON CITY, NV
    ZIP 89703
  • Phone: (775) 883-3636

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NPI Details

Samantha Audrey Mcdougal, PA-C is a medical physician assistant in Carson City, NV with 5 years of experience. Samantha Audrey Mcdougal, PA-C NPI is 1821656174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1475 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703-635
Phone: (775) 883-3636
Fax: (775) 882-2382

The NPI 1821656174 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 6/2/2019 and was last updated on 12/12/2024.

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
1363A00000XPhysician AssistantNo
2363AM0700XPhysician AssistantMedicalPA2400NEVADAYes

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: 3/30/2025

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