DR. SAMUEL FORSYTH ANDELIN (NPI# 1619132834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619132834 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL FORSYTH ANDELIN |
| Credential | MD |
| Practice Address |
1380 E Medical Center Dr St George UT 84790-2123 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352512992 |
| Mailing Telephone | (435) 251-2992 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 9596330-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 52440-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 9596330-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | TEP | 2724 | 01 |
| Street Address |
1380 E MEDICAL CENTER DR |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1659971109 | Fran Vakalahi | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-10-26 |
| 1396352001 | Conni Elms | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-09-26 |
| 1659996304 | Ian Andrus | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-06-09 |
| 1588287320 | Paul Siddoway Cochran | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-27 |
| 1083235618 | Don Benjamin Wilson | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-05 |
| 1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
| 1255971198 | Pathology Services Inc | Pathology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-01-08 |
| 1356988604 | Gregory Seth Orton | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-12-05 |
| 1326683897 | Amelia E Ence | Occupational Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
| 1861522799 | Ihc Health Services Inc | Hospitalist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891238481 | Cuper Martinez-santibanez | Hospitalist | 3460 S Pioneer Pkwy, West Valley City, UT 84120-2049 | 2016-11-30 |
| 1912351297 | Brenden Jay Gallagher | Hospitalist | 5505 S 900 E, Murray, UT 84117-7209 | 2016-04-22 |
| 1548680119 | John Hamburg Murray | Hospitalist | 30 N 1900 S, Room 1c412, Salt Lake City, UT 84132-0001 | 2014-04-22 |
| 1063752855 | Md Ecf Services | Hospitalist | 2942 S 2000 W, Syracuse, UT 84075-8937 | 2013-02-15 |
| 1649475120 | Ermita Bort | Hospitalist | 2055 Village Point Way, Sandy, UT 84093-2681 | 2007-06-15 |
| 1164554069 | Ihc Health Services Inc | Hospitalist | 8 Th Avenue & C St, Salt Lake City, UT 84143-0002 | 2007-03-09 |
| 1205838844 | Vijaykumar Lingegowda | Hospitalist | 1200 East 3900 S, Suite 4b, Salt Lake City, UT 84124 | 2005-08-12 |
| 1598389595 | Ihc Health Services Inc | Hospitalist | 5373 S Green St, Salt Lake City, UT 84123-4680 | 2020-06-04 |
| 1609334911 | Santibanez Aguirre Slc PC | Hospitalist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-03-05 |
| 1316436041 | Ihc Health Services Inc | Hospitalist | 201 W Layton Pkwy, Layton, UT 84041-3692 | 2018-05-08 |
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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.