Samuel Joseph Daisley (NPI# 1669507505, PAC ID# 9830128917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1669507505 |
| PAC ID by PECOS | 9830128917 |
| Professional Enrollment ID | I20101101000748 |
| Full Name | Samuel Joseph Daisley |
| Organization Legal Name | UPMC COMMUNITY MEDICINE INC |
| Address |
149 E Main St Andover OH 44003-9479 |
| Phone Number | 4402935555 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062318975 |
| Number of Group Practice Members | 684 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390178 | UPMC HORIZON |
| 390016 | JAMESON MEMORIAL HOSPITAL |
| 360192 | UH GEAUGA MEDICAL CENTER |
| 360125 | ASHTABULA COUNTY MEDICAL CENTER |
| 390113 | MEADVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 149 E Main St, Andover, OH 44003-9479 | 4402935555 | UPMC COMMUNITY MEDICINE INC |
| 11065 State Hwy 18 1, Conneaut Lake, PA 16316-3569 | 8143826550 | UPMC COMMUNITY MEDICINE INC |
| 2200 Memorial Dr, Farrell, PA 16121-1357 | 7249813500 | UNIVERSITY OF PITTSBURGH PHYSICIANS |
| 8511 Main St, Kinsman, OH 44428-9333 | 3308761662 | UPMC COMMUNITY MEDICINE INC |
| 339 6th Ave, Suite 5, Pittsburgh, PA 15222-2518 | 4125608762 | UPMC COMMUNITY MEDICINE INC |
| Organization Legal Name | UPMC COMMUNITY MEDICINE INC |
| Physicians | 772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey N Vroman | Nurse Practitioner | Upmc Community Medicine Inc | 3120 Wilmington Rd, Lawrence County Orthopedics and Sport, New Castle, PA 16105-1168 |
| Tara Degnan | Physician Assistant | Upmc Community Medicine Inc | 241 Freeport Rd, Aspinwall, PA 15215-3035 |
| Dustin M Defrancisis | Physician Assistant | Upmc Community Medicine Inc | 22681 Route 68, Clarion, PA 16214-4019 |
| Ibrahim Bawab | Otolaryngology | Upmc Community Medicine Inc | 1029 Liberty St, Franklin, PA 16323-1242 |
| Taylor N Jeannette | Physician Assistant | Upmc Community Medicine Inc | 464 Allegheny Blvd, Franklin, PA 16323-6259 |
| Kenneth L Pierson Iii | Physician Assistant | Upmc Community Medicine Inc | 20130 Route 19 1000, Cranberry Township, PA 16066-6218 |
| Tammie F Payne | Nurse Practitioner | Upmc Community Medicine Inc | 300 N Spring St, George M Zubak Upmc, Everett, PA 15537-1011 |
| Amanda L Roeder | Nurse Practitioner | Upmc Community Medicine Inc | 304 Evans Dr, Lawrence County Orthopedics and Sport, Ellwood City, PA 16117-1477 |
| Kayla M Weaver | Nurse Practitioner | Upmc Community Medicine Inc | 400 W Butler St, Family Healthcare Partners Upmc, Mercer, PA 16137-1090 |
| Jasmine N Wilson | Physician Assistant | Upmc Community Medicine Inc | 969 Greentree Rd, Pittsburgh, PA 15220-3328 |
| Street Address |
149 E MAIN ST |
| City | ANDOVER |
| State | OH |
| Zip | 44003-9479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Beverly | Clinical Social Worker | 149 E Main St, Trinidad, CO 81082-2749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill P Wilson | Physical Therapy | 10 Public Sq, Andover, OH 44003-9314 | |
| Louise V Sheridan | Occupational Therapy | Therapeutic Solutions LLC | 10 Public Sq, Andover, OH 44003-9314 |
| Henry Debiec | General Practice | Primary Health Network | 5594 State Route 7, Andover, OH 44003-9490 |
| Scott M Cook | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Randy S Zelen | Internal Medicine | Meadville Medical Center | 486 S Main St, Route 7, Andover, OH 44003-9602 |
| James Gordon Gregory | Family Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| William Jian | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| Mark A Bialas | Emergency Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| John P Flaherty | Internal Medicine | 4m Emergency Systems-andover, LLC | 476 S Main St, Andover, OH 44003-9602 |
| City | ANDOVER |
| Zip Code | 44003 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ANDOVER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel Joseph Daisley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.