Individual
SAMANTHA ERIN MASSOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10455 ORTHOPAEDIC DR, NEWBURGH, IN 47630-7955
(812) 424-9291
(812) 421-2722
Mailing address
PO BOX 328, EVANSVILLE, IN 47702-0328
(812) 424-9291
(812) 421-2722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12136
NC
363A00000X
Physician Assistant
Primary
10004400A
IN
363A00000X
Physician Assistant
PA00610
MS
363A00000X
Physician Assistant
PA3559
KY
Other
Enumeration date
02/07/2022
Last updated
03/06/2026
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