Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA JACK, PA-C
ActiveSAMANTHA JACK, PA-C is a Surgical Physician Assistant healthcare provider located in BEAVERCREEK, Ohio. NPI 1316314925 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1316314925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2015 (10.998363163709 yrs)
- Last Updated
- Mar 20, 2018
Practice Information
- Address
-
725 UNIVERSITY BLVDBEAVERCREEK, OH, 453242640Browse OH providers · Browse ZIP 45324
- Phone
- 9372457150
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BEAVERCREEK, OH
| Name | Credential | NPI |
|---|---|---|
| JILL O'CONNOR | PA-C | 1861631145 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.