Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha K Ezolt, PA-C

Individual provider Physician Assistant · NPI 1245885482

Samantha K Ezolt, PA-C is a Physician Assistant in Hagerstown, Maryland. Qualified in 2019, 7 years ago. Practices with Tri-State Orthopaedics and Sports Medicine, Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13 Western Maryland Pkwy Ste 104
Hagerstown, MD 21740-6474
Phone: (301) 665-4575
Fax: (301) 665-4576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (PA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1245885482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tri-State Orthopaedics And Sports Medicine, Inc. — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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