Individual provider · Type 1 NPI

Samantha Whalen Bouthillette, PA-C

Surgical Physician Assistant · Springfield, MA

NPI number 1013268218 Active

Practice location

300 Birnie Ave
Springfield, MA 01107-1107

Call (413) 785-4666 Map

Mailing address

75 Russellville Rd
Southampton, MA 01073-9508

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA5512 (MA)
Physician Assistant 363A00000XPA5512 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1013268218

Samantha Whalen Bouthillette, PA-C's National Provider Identifier is 1013268218, issued on Sep 27, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MA. The record was last updated on Mar 3, 2026.