DR. MESHACH VEDANAYAGAM SAMUEL
NPI 1124092341
Family Medicine in Marion, IL

Q: What is Meshach Samuel's NPI number?

The NPI number for Meshach Samuel is 1124092341. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Meshach Samuel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Meshach Samuel was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2006

2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Meshach Vedanayagam Samuel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MESHACH VEDANAYAGAM SAMUEL (NPI 1124092341) is an individual family medicine provider in Marion, Illinois, licensed in Illinois (036-103980) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1124092341

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MESHACH VEDANAYAGAM SAMUEL

Location Address2401 W MAIN STMarion, IL 62959-1188

Mailing Address14614 Gossett RdWest Frankfort, IL 62896-4219 · (618) 937-6650

Phone(618) 997-5311

Sole ProprietorNo

Enumeration DateFebruary 14, 2006

Last NPPES UpdateDecember 1, 2016

✔ NPI 1124092341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-103980

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2401 W MAIN ST, Marion, IL 62959

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Other Identifiers 1

Medicare UPINH 03267IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE A OTTO RN

Registered Nurse