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

Samantha L Shaw

Individual provider Physician Assistant · NPI 1881484004

Samantha L Shaw is a Physician Assistant in Tallmadge, Ohio. Qualified in 2025, 1 year ago. Practices with Santibanez PAC Ohio Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

393 Vinewood Ave
Tallmadge, OH 44278-1350
Phone: (330) 515-6403
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009914RX (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881484004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Santibanez Pac Ohio Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tallmadge