SAMUEL J. DAISLEY D.O. INC. (NPI# 1023143823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143823 |
| Entity Type | Organization |
| Organization Name | SAMUEL J. DAISLEY D.O. INC. |
| Other Organization Name | DAISLEY FAMILY PRACTICE |
| Practice Address |
149 E Main St # 1117 Andover OH 44003-9479 |
| Practice Telephone | 4402935555 |
| Practice Fax Number | 4402936643 |
| Mailing Telephone | 4402935555 |
| Mailing Fax Number | 4402936643 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | SAMUEL J DAISLEY (PRESIDENT) |
| Authorized Official Telephone | 4402935555 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BCBS-PA LOCATION | 1760704 | 01 |
| OH | 2642975 | 05 | |
| PA | HIGHMARK BCBS-OH LOCATION | 1760677 | 01 |
| Other Name | Type Code |
|---|---|
| DAISLEY FAMILY PRACTICE | Doing Business As Name - Organization |
| Street Address |
149 E MAIN ST # 1117 |
| City | ANDOVER |
| State | OH |
| Zip Code | 44003-9479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362669 | Barbara Marie Fusselman | Homemaker | 6643 First Ave., Andover, OH 44003 | 2020-09-30 |
| 1730461617 | Lori Nanette Patterson | Registered Nurse | Us Route 6, Andover, OH 44003 | 2011-09-15 |
| 1972759538 | Nicole Lynn Onderko | Community Health Worker | Andover Village Retirement Center 486 South Main Street, Andover, OH 44003 | 2008-08-14 |
| 1790931863 | Charles Wayne Swartz Jr. | Physical Therapy Assistant | 486 South Main Street, Andover Village Retirement Center, Andover, OH 44003 | 2008-08-08 |
| 1962658047 | Jay Edward Paxton | Community Health Worker | Avrc 486 South Main Street, Andover, OH 44003 | 2008-08-08 |
| 1356526529 | Brenda Lee Lipps | Licensed Practical Nurse | 6597 St Rt 7, Andover, OH 44003 | 2008-01-07 |
| 1639389000 | Kimberly Marie Wisnyai | Occupational Therapy Assistant | 5531 Us Rt 6, Andover, OH 44003 | 2007-05-23 |
| 1962610568 | Darlene A. Patton | Occupational Therapist | 5531 State Rt. 6, Andover, OH 44003 | 2007-05-18 |
| 1730303397 | Stacey Renee Chess | Occupational Therapist | 5531 State Route 6, Andover, OH 44003 | 2007-04-12 |
| 1316036205 | Edward J. Pollander | Dentist | 6258 East Main St, Andover, OH 44003 | 2006-10-11 |
| Find all providers in zip 44003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194088484 | Micah Hall | Family Medicine | 105 S Andover Rd Ste D, Andover, KS 67002-7926 | 2012-06-21 |
| 1962636944 | Kari R Clouse | Family Medicine | 307 W Hwy 54 Ste 300, Andover, KS 67002-7849 | 2009-05-06 |
| 1346434081 | Melissa Lynn Reilly | Family Medicine | 272 Route 206 North, Andover, NJ 07821 | 2007-09-05 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1407079973 | Marianne Shuchin Liu | Family Medicine | 13819 Hanson Blvd. Nw, Fair View Clinic, Andover, MN 55304 | 2007-04-11 |
| 1689722001 | Catherine R Trader | Family Medicine | 8 Lenape Road, Andover, NJ 07821 | 2007-01-08 |
| 1063512507 | Paresh K Thakkar | Family Medicine | 13 Wabanaki Way, Andover, MA 01810-5524 | 2006-09-24 |
| 1922017128 | William A Coch | Family Medicine | 20 S Main St., Andover, NY 14806 | 2006-08-05 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| 1497788053 | Manuel Tsing Lowenhaupt | Family Medicine | 12 Farrwood Dr, Andover, MA 01810-5227 | 2006-07-08 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.