NPI 1013268218

Samantha Whalen Bouthillette, PAC

Practitioner Surgical Physician Assistant Springfield, MA

Practice location

Address: 300 Birnie Ave, Springfield, MA 01107-1107
Phone: (413) 785-4666
Mailing address: 75 Russellville Rd, Southampton, MA 01073-9508

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA5512 (MA)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA5512 (MA)

Registry record

NPI: 1013268218
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2012
Record last updated: 3 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.