Samuel Cole Kitzman · Physician Assistant

130 Jefferson St Apt 8, North Liberty, IA 52317-9056

Overview

Samuel Cole Kitzman is a Physician Assistant practicing in North Liberty, Iowa. The National Provider Identifier (NPI) is #1194680140, which was assigned on December 22, 2025, and the registration record was last updated on December 22, 2025. The practitioner's main practice location is at 130 Jefferson St Apt 8, North Liberty, IA 52317-9056; the contact telephone number is 5635138658. The primary taxonomy of Samuel Cole Kitzman is Physician Assistant (363A00000X).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1194680140
Entity Type Individual
Provider Name SAMUEL COLE KITZMAN
Gender Male
Credential PA-C
Practice Address 130 Jefferson St Apt 8
North Liberty
IA 52317-9056
Practice Telephone 5635138658
Mailing Address 130 Jefferson St Apt 8
North Liberty
IA 52317-9056
Certification Date 2025-12-22
Enumeration Date 2025-12-22
Last Update Date 2025-12-22
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Ellie Renee Duckworth 2230 S Springfield Ave Ste H-J, Bolivar, MO 65613-9133Physician Assistant2026-02-06
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Dhara T Parikh 1921 Spring Rd, Carlisle, PA 17013-1157Physician Assistant2026-02-07
Mary Bridget Mcloughlin 1468 Madison Ave, New York, NY 10029-6508Physician Assistant2026-02-06
Madeline Marks 5102 Paulsen St Bldg 4, Savannah, GA 31405-4614Physician Assistant2026-02-06
Elona Nacaj 525 E 68th St, New York, NY 10065-4870Physician Assistant2026-02-06
Vincenza Rose Grilletto 186 Municipal Rd, Pipersville, PA 18947-9316Physician Assistant2026-02-06
Nathan Thomas Westerlund 205 N East Ave, Jackson, MI 49201-1753Physician Assistant2026-02-06
Taylor Sekyra 47 New Scotland Ave, Albany, NY 12208-3479Physician Assistant2026-02-07
Pedro Angel Rivera Santana 1115 Calle Perpetuo Socorro, Mayaguez, PR 00682-6276Physician Assistant2026-02-07
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Location Information

Street Address 130 JEFFERSON ST APT 8
City NORTH LIBERTY
State IA
Zip Code 52317-9056
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Erin Marie Winkler · Erin Marie O'Connell 740 Community Dr A, North Liberty, IA 52317Speech-Language Pathologist2025-06-17
Ability First Care LLC 207 Watercress Rd, North Liberty, IA 52317-2603Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-01-12
Kelsey Anne Paul-Charlson 710 Pacha Pkwy Unit 3, North Liberty, IA 52317-4824Speech-Language Pathologist2015-03-18
Connor Collins 650 Pacha Pkwy Ste 7, North Liberty, IA 52317-4865Hearing Instrument Specialist2025-08-20
Melissa Joy Charlson · Melissa Joy Delutri 710 Pacha Pkwy Unit 3, North Liberty, IA 52317-4824Speech-Language Pathologist2023-03-13
Evan Perry Larson 2301 Steindler Way Ste B, North Liberty, IA 52317-7907Orthopaedic Surgery of the Spine Physician2015-06-30
Evergreen Therapy Center LLC 595 Ashley Ct Ste 5, North Liberty, IA 52317-4758Adult Mental Health Clinic/Center2020-07-17
Richard A. Stapleton 1655 Silver Maple Trl, North Liberty, IA 52317-4738Professional Counselor2008-02-12
Katheryn Kolker 1765 Lininger Ln, North Liberty, IA 52317-2335Physician Assistant2025-12-22
Jonathan Walter Willoughby 345 N Juniper St, North Liberty, IA 52317-7821Nurse Practitioner2023-08-09
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Carolyn A Cole · Carolyn Cole Meyer 720 Forest Oaks Dr, Waco, TX 76712-3190Professional Counselor2025-09-16
Shaquanda Cole · Shay Cole 735 North Dr, Hopkinsville, KY 42240-2620Mental Health Counselor2025-03-28
Nancy Cole Nelson · Nancy Wight Cole 6500 Excelsior Blvd, St Louis Park, MN 55426-4702Obstetrics & Gynecology Physician2011-05-10
Victoria Allison Cole · Tori Cole 200 Hawkins Dr, Iowa City, IA 52242-1009Pediatrics Physician2025-06-04
Halie Cottrill Kitzman 1689 Nonconnah Blvd Ste 120, Memphis, TN 38132-2111Optometrist2016-09-08
Laura Ann Kitzman 3310 Gertrude St, Bellevue, NE 68147-1353Chore Provider2025-05-17
Melissa Cole Burnett · Melissa Marie Cole 19125 W Hazelwood St, Litchfield Park, AZ 85340-4743Clinical Social Worker2018-11-27
Heather Lynn Kitzman 1216 Buena Vista Dr # Dt, Black River Falls, WI 54615-5983Massage Therapist2025-09-24
Lindsay Cole Wallace · Susan Lindsay Cole 3910 Applegate Ct, Fredericksburg, VA 22408-9639Clinical Social Worker2016-09-07
Melissa Erber Kitzman 6525 France Ave S, Suite 100, Edina, MN 55435-2148Advanced Practice Midwife2014-06-06

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.