Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Samantha Jo Shultz, CAA

Individual provider Anesthesiologist Assistant · NPI 1720986912

Samantha Jo Shultz, CAA is an Anesthesiologist Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026

Practice location Address checks out

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Phone: (260) 409-6119
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X (IN)

Record details

NPI number1720986912
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAA
Sole proprietorNo
NPI enumeratedOctober 28, 2026
Last updated in NPPESOctober 28, 2026
Certification dateOctober 28, 2026

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