MEDICARE: SAMANTHA LEIGH GAETANI MD

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
1	207P00000X	Emergency Medicine Physician	MT221518	PA
2	207PT0002X	Medical Toxicology (Emergency Medicine) Physician	R80700	AZ
3	207P00000X	Emergency Medicine Physician	74471	AZ

General Provider Information

NPI Number	:	1710502315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA LEIGH GAETANI MD

Provider Business Mailing Address
First Line	:	4333 N 6TH DR APT 235
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3193
Country	:	US
Telephone Number	:	201-595-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 E MCDOWELL RD BLDG A2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2612
Country	:	US
Telephone Number	:	602-839-3949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	10/24/2024

Similar Medicare Providers

1134095169 — KATHERINE ROSE ANDERSON
Practice Location Address:

1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612

Practice Phone: 602-839-2054
Practice Fax:

1255334785 — DR. TODD BRIAN TAYLOR M.D.
Practice Location Address:

1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612

Practice Phone: 602-239-6968
Practice Fax:

1538166145 — DR. ROBERT MEEKS M.D.
Practice Location Address:

1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612

Practice Phone: 480-374-7200
Practice Fax:

1558357947 — LYNN ANN CROCKER D.O.
Practice Location Address:

1111 E MCDOWELL RD , WT LL1 CASE MANAGEMENT
PHOENIX, AZ
85006-2612

Practice Phone: 602-839-2000
Practice Fax: 602-839-5918

1326037037 — EDWIN G. GOLDSTEIN M.D.
Practice Location Address:

1111 E MCDOWELL RD , DEPARTMENT OF MEDICAL IMAGING, GOOD SAMARITAN HOSPITAL
PHOENIX, AZ
85006-2612

Practice Phone: 602-239-4850
Practice Fax:

1891784849 — KEVIN S HIRSCH MD
Practice Location Address:

1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612

Practice Phone: 602-239-4601
Practice Fax: 602-239-3075

1265410351 — DR. EDWARD TOGNACCI DO
Practice Location Address:

1111 E MCDOWELL RD
PHOENIX, AZ
85006-2612

Practice Phone: 602-839-6968
Practice Fax: 602-839-4144

Directions to “ SAMANTHA LEIGH GAETANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.