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NPI Code Detail

MEDICARE: SAMANTHA LEE HIGBEA PA-C

MEDICARE:   SAMANTHA LEE HIGBEA  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.007150RXOH

General Provider Information

NPI Number : 1205591674
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA LEE HIGBEA PA-C
Provider Business Mailing Address
First Line : 340 POLARIS PKWY
Second Line :
City : WESTERVILLE
State : OH
Zip : 43082-7971
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 CRESCENT PL
Second Line :
City : GAHANNA
State : OH
Zip : 43230-3086
Country : US
Telephone Number : 614-545-7900
Fax Number : 614-545-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2021
Last Update Date : 01/20/2026

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Directions to “ SAMANTHA LEE HIGBEA PA-C” Practice Location

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