Healthcare Provider Details

I. General information

NPI: 1548593114
Provider Name (Legal Business Name): SAMANTHA ANN BUHLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMANTHA ANN CHEATLE PA-C

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date: 08/03/2010
Reactivation Date: 10/12/2010

III. Provider practice location address

1870 AMHERST ST STE F
WINCHESTER VA
22601-2841
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 320
WINCHESTER VA
22601-2889
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-0010
  • Fax: 540-536-0061
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110010509
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: