Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Samuelsen, PA-C

Individual provider Surgical Physician Assistant · NPI 1407381213

Mark Samuelsen, PA-C is a Surgical Physician Assistant in Boston, Massachusetts. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1407381213
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 30, 2017
Last updated in NPPESApril 30, 2017

Other providers in Boston