Healthcare Provider Details

I. General information

NPI: 1689875445
Provider Name (Legal Business Name): SAMANTHA ELAINE HILL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA E MUELLER

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CANDLEWOOD CT
LYNCHBURG VA
24502-2654
US

IV. Provider business mailing address

801 YORK ST
MANITOWOC WI
54220-4630
US

V. Phone/Fax

Practice location:
  • Phone: 434-363-4190
  • Fax: 434-363-4191
Mailing address:
  • Phone: 920-663-9008
  • Fax: 920-684-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number81137-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0101255774
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number81137-20
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number0101255774
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: