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

Samantha Enneking, PA

Individual provider Physician Assistant · NPI 1811417702

Samantha Enneking, PA is a Physician Assistant in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Mount Carmel Healthproviders Two LLC, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
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

85 McNaughten Rd
Columbus, OH 43213-2174
Phone: (614) 627-1430
Fax: (614) 627-1434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Olentangy River Rd, Columbus, OH 43214-3908 — (614) 566-4579

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005118RX (OH)

Record details

NPI number1811417702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mount Carmel Healthproviders Two Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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