Samantha Ashley Gray, PA-C
Pediatrics, Pediatric Emergency Medicine in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1265083091
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1265083091
- Entity type
- Individual (NPI-1)
- Name
- Samantha Ashley Gray
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2019
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | MA060998 | PA | Yes |
Other names
- Samantha Ashley Ohl (Former Name)
Practice location
4401 Penn AvePittsburgh, PA 15224-1334
Phone 412-692-5325
Mailing address
4401 Penn AvePittsburgh, PA 15224-1334
Phone 412-692-8430
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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