Individual
SAMANTHA D KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 THOMAS JOHNSON DR, FREDERICK, MD 21702-4599
(301) 694-3111
(301) 694-8626
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580503
—
MD
05
—
926580505
—
MD
Enumeration date
11/05/2015
Last updated
09/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us