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SAMUEL G HAWK DO
NPI 1366763567
General Practice in Ham Lake, MN

Active since June 22, 2010
14326 ROCHESTER ST NE, HAM LAKE, MN 55304(612) 486-2226 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Dec 5, 2018 (2 updates tracked since 2018).

About Samuel G Hawk Do NPPES

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

SAMUEL G HAWK DO (NPI 1366763567) is an individual general practice provider in Ham Lake, Minnesota, licensed in Hawaii (DOS-1424) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1366763567
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSAMUEL G HAWKCredential: DO
Location Address14326 ROCHESTER ST NEHam Lake, MN 55304-6266
Mailing Address14326 Rochester St NeHam Lake, MN 55304-6266 · (612) 486-2226
Phone(612) 486-2226
Sole ProprietorYes
Enumeration DateJune 22, 2010
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1366763567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in HI · DOS-1424
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14326 ROCHESTER ST NE, Ham Lake, MN 55304
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Hawk's NPI number?

The NPI number for Samuel Hawk is 1366763567. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Samuel Hawk located?

Samuel Hawk practices at 14326 Rochester St NE, Ham Lake, MN 55304. The listed phone number is (612) 486-2226.

What is Samuel Hawk's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Samuel Hawk was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.