Provider Demographics
NPI:1609979988
Name:VALENTI, SAMUEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:A
Last Name:VALENTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5 MORGAN HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-2641
Mailing Address - Country:US
Mailing Address - Phone:570-344-3788
Mailing Address - Fax:570-969-9280
Practice Address - Street 1:5 MORGAN HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-2641
Practice Address - Country:US
Practice Address - Phone:570-344-3788
Practice Address - Fax:570-969-9280
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD050123L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103055159-0001Medicaid
PA1609979988OtherGEISINGER HEALTH PLAN
PA30274421OtherAMERIHEALTH CARITAS
PA9554618OtherAETNA/COVENTRY
PA1609979988OtherHUMANA/CHOICE CARE
PA819248OtherBLUE SHIELD/MEDICARE ADVANTAGE/FPLIC/FPH
PA1609979988OtherUHC COMMERCIAL & MEDICARE
PA8907018OtherCIGNA
PAP01562146OtherRAILROAD MEDICARE
PA103055159-0001Medicaid