Samantha W Bouthillette, PA-C
Physician Assistant, Surgical in Springfield, Massachusetts
1013268218- Practice location
- 300 Birnie Ave, Springfield, MA 01107-1107
- Phone
- 413-785-4666
- Fax
- —
- Last updated
- March 3, 2026
Samantha Whalen Bouthillette is a Physician Assistant, Surgical based in Springfield, MA. Samantha Whalen Bouthillette practices in Springfield, MA and has the professional credentials of PA-C. The NPI Number for Samantha Whalen Bouthillette is 1013268218 and holds a License No. PA5512 (MA). The current practice location address for Samantha Whalen Bouthillette is 300 Birnie Ave, Springfield, MA 01107-1107 and can be reached out via phone at 413-785-4666.
Provider Profile Details
- NPI Number
- 1013268218
- Provider Name
- Samantha Whalen Bouthillette
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 Birnie Ave, Springfield, MA 01107-1107
- Phone Number
- 413-785-4666
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Other Names
- Ms. Samantha Lynn Whalen, PA-C (Former Name)
- Provider Enumeration Date
- September 27, 2012
- Last Update Date
- March 3, 2026
- Certification Date
- March 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Birnie Ave
Springfield, MA 01107-1107 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1107
- Phone Number
- 413-785-4666
Provider Business Mailing Address Details
- Address
- 75 Russellville RD
Southampton, MA 01073-9508 - City
- Southampton
- State
- MA
- Zip
- 01073-9508
- Phone Number
- 413-454-2782
License Information
- License Number (1)
- PA5512
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (2)
- PA5512
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Springfield, MA
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Frequently Asked Questions
What is the NPI number of Samantha W Bouthillette, PA-C?
The NPI number of Samantha W Bouthillette, PA-C is 1013268218. It was assigned on September 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Samantha W Bouthillette, PA-C?
Samantha W Bouthillette, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA5512.
Where does Samantha W Bouthillette, PA-C practice?
The practice location is 300 Birnie Ave, Springfield, MA 01107-1107. The office can be reached at 413-785-4666 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013268218 directly on the NPPES registry website.