Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407381213 Individual Practitioner Male Practitioner

Mark Samuelsen , PA-C

Physician Assistant - Surgical • Boston, MA

Professional Overview & Biography Verified Profile Summary

Mark Samuelsen, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Boston, MA. Practice services are available at 55 FRUIT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 6177262000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
137 Specialists

Practicing in Boston, MA (523 Statewide)

Telehealth Adoption Rate
13.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Hugh Auchincloss , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003076522

Doctor of Medicine (M.D.)

Dr. John Danko , DO

Physical Medicine & Rehabilitation

NPI 1003109596

Doctor of Osteopathic Medicine (D.O.)

Elaina Townsend

Nurse Practitioner

NPI 1003202334
Jacqueline Walter , LICSW

Social Worker - Clinical

NPI 1003424805

Licensed Independent Clinical Social Worker

Dr. Justin Sardi , MD

Radiology - Diagnostic Radiology

NPI 1003443839

Doctor of Medicine (M.D.)

NPI 1003478843

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2017

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 6177262000)

📍
Updated Business Mailing Address April 30, 2017

Registered at 55 FRUIT ST, BOSTON, MA 021142621

👤
Provider Name / Credentials Updated April 30, 2017

Recorded as MARK SAMUELSEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407381213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2017
Last Update: April 30, 2017
Sole Proprietor: No

Mailing Address

55 Fruit St

Boston, MA 021142621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.