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SAMUEL J DAISLEY D.O.
NPI 1669507505
Family Medicine in Andover, OH

Active since February 22, 2007
149 E MAIN ST, BOX 1117, ANDOVER, OH 44003(440) 293-5555(440) 293-6643 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel J Daisley D.o. NPPES

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

SAMUEL J DAISLEY D.O. (NPI 1669507505) is an individual family medicine provider in Andover, Ohio, licensed in Ohio (34004448) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1669507505
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL J DAISLEYCredential: D.O.
Location Address149 E MAIN ST, BOX 1117Andover, OH 44003-9479
Mailing Address149 E Main St, Box 1117Andover, OH 44003-9479 · (440) 293-5555 · Fax (440) 293-6643
Phone(440) 293-5555
Fax(440) 293-6643
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateDecember 9, 2009
✔ NPI 1669507505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 34004448✔ Licensed in PA · OS006385L
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.
149 E MAIN ST, Andover, OH 44003
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Other Identifiers 7

Other1760701PA · Highmark Bcbs- Pa Locatio
Medicare UPINA17117
Medicare ID-Type Unspecified056711QGBPA
Medicare ID-Type UnspecifiedDA0605533OH
Medicaid0679930OH
Other092290PA · Highmark Bcbs- Oh Locatio
Other000000137900OH · Anthem Bcbs

Other Providers at the Same Location NPPES 4

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

UPMC COMMUNITY MEDCINE INC
Non-Pharmacy Dispensing Site
149 E MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 293-5555
ANCHOR OF HOPE CENTER
Case Management
149 E MAIN ST
ANDOVER, OH 44003
Ashtabula County (877) 248-5327
MARK L STABILE JR. D.O.
Family Medicine
149 E MAIN ST, BOX 1117
ANDOVER, OH 44003
Ashtabula County (440) 293-5555
MRS. MARY THERESA JAMES CNP
Family Medicine
149 E MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 293-5555

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 Daisley's NPI number?

The NPI number for Samuel Daisley is 1669507505. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Samuel Daisley located?

Samuel Daisley practices at 149 E Main St Box 1117, Andover, OH 44003. The listed phone number is (440) 293-5555.

What is Samuel Daisley's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Daisley was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.