SAMUEL PORIZA AU (NPI# 1578565420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578565420 |
| Entity Type | Individual |
| Full Name | SAMUEL PORIZA AU |
| Credential | M.D. |
| Practice Address |
301 N 8th St Springfield IL 62701-1041 |
| Practice Telephone | 2175255666 |
| Practice Fax Number | 2177576754 |
| Mailing Telephone | 2175255666 |
| Mailing Fax Number | 2177576754 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2015-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME114482 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
13493 | NV | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036117479 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35081855 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1578565420 | 05 | |
| FL | MEDICARE | GV509Z | 01 |
| NV | CIGNA | 6054447 | 01 |
| FL | 007934500 | 05 | |
| NV | RAILROAD MEDICARE | P00885629 | 01 |
| AZ | 543382 | 05 | |
| OH | 2368816 | 05 | |
| NV | USA MCO | 880457 | 01 |
| NV | GHI | 1624235 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043386154 | Samuel Au | Dentist | 5305 Lincoln Ave, Cypress, CA 90630-2235 | 2006-11-28 |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073148375 | Ashley Kirkpatrick | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2020-03-06 |
| 1699260299 | Eman Mosleh | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2018-06-26 |
| 1508370719 | Linsey Meloche | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2017-11-27 |
| 1649789736 | Nichole Kristine Chatham | Occupational Therapist | 301 N 8th St, Springfield, IL 62701-1041 | 2017-09-21 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1740639533 | Matthew Leland Davis | Urology | 301 N 8th St, Springfield, IL 62701-1041 | 2016-06-13 |
| 1578910741 | Bradley Christopher Holland | Urology | 301 N 8th St, 4b143c, Springfield, IL 62701-1041 | 2016-05-18 |
| 1295182467 | Meredith Volle | Pediatrics | 301 N 8th St, 4a, Springfield, IL 62701-1041 | 2016-05-18 |
| 1205299542 | Rebecca S. Vanmeter | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2016-04-04 |
| 1972970630 | Chad A Hargrove | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
| 1316961576 | Carlos A. Perez | Radiology | 2055 S Fremont, Springfield, MO 65804 | 2006-07-27 |
| 1023098209 | Linda Esther Bornstein | Radiology | 3350 Main St, Springfield, MA 01107-1112 | 2006-01-22 |
| 1376533927 | Hyewon Helen Kim | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2005-10-25 |
| 1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
| 1992124531 | Simon Aaron Brown | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-10 |
| 1306265327 | Adrianna Henson Masters | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-08 |
| 1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
| 1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
| 1073824553 | Christopher Fleighton Estes | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2010-06-29 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.