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

Samantha Dorman, PA

Individual provider Physician Assistant · NPI 1417209644

Samantha Dorman, PA is a Physician Assistant in Mesa, Arizona. Qualified in 2012, 14 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2204 S Dobson Rd Ste 201
Mesa, AZ 85202-6457
Phone: (602) 230-7373
Fax: (480) 629-8577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 5276 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5276 (AZ)

Record details

NPI number1417209644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 11, 2012
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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