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

Samantha Anna Wloch, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1275022618

Samantha Anna Wloch, PHYSICIANASSISTANT is a Physician Assistant in Eden Prairie, Minnesota. Qualified in 2018, 8 years ago. Practices with Radiology Imaging Associates LLC, a 181-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
8
Licensed in
FL, MN
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone: (612) 573-2200
Fax: (612) 573-2274
Show map & directions

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

Additional practice locations (1)

  • 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 — (888) 663-3488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15621 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9111230 (FL)

Record details

NPI number1275022618
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Radiology Imaging Associates Llc — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare