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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA P. HERRETES, MD

Active

SAMANTHA P. HERRETES, MD is a 207WX0120X healthcare provider located in COLUMBIA, Missouri. NPI 1770995862 is currently active in the NPPES registry. Verify at CMS.

207WX0120X · COLUMBIA, MO

Registration Details

NPI Number
1770995862
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2014 (12.246241901781 yrs)
Last Updated
Jan 14, 2026
Licenses
2018011188 (MO)
2018011188 (MO)
2018011188 (MO)
04-42495 (KS)

Practice Information

Address
3215 WINGATE CT STE 102
COLUMBIA, MO, 652017689
Browse MO providers · Browse ZIP 65201
Phone
5738843937
Fax
5738844868
Primary Specialty
207WX0120X
207WX0120X
Additional Specialty
Ophthalmology
Additional Specialty
207WX0108X
Additional Specialty
207WX0120X

Other 207WX0120X Providers in COLUMBIA, MO

Name Credential NPI
FREDERICK WEB FRAUNFELDER M.D. 1962453241
JAMES RODNEY LANDRENEAU MD 1396276135
LAURENCE GEORGE DUCKER MD 1467913889
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.