SAMUEL PORIZA AU M.D. NPI 1578565420

NPI Information

NPI: 1578565420
Provider Name: SAMUEL PORIZA AU, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Address:
301 N 8TH ST
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 525-5666
Get Directions

Samuel Poriza Au, M.D. is a radiation oncology radiology in Springfield, IL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Samuel Poriza Au, M.D. NPI is 1578565420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 N 8TH ST
SPRINGFIELD, IL
ZIP 62701-041
Phone: (217) 525-5666
Fax: (217) 757-6754

The enumeration date for this NPI number is 8/11/2005 and was last updated on 10/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	35081855	OHIO	No
2	2085R0001X	Radiology	Radiation Oncology	13493	NEVADA	No
3	2085R0001X	Radiology	Radiation Oncology	ME114482	FLORIDA	No
4	2085R0001X	Radiology	Radiation Oncology	036117479	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1624235	OTHER	NEVADA	GHI
2	214943	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP NUMBER
3	K36592	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE PROVIDER NUMBER
4	543382	MEDICAID	ARIZONA
5	H45112	MEDICARE UPIN	FLORIDA
6	GV509Z	OTHER	FLORIDA	MEDICARE
7	880457	OTHER	NEVADA	USA MCO
8	2368816	MEDICAID	OHIO
9	1578565420	MEDICAID	NEVADA
10	007934500	MEDICAID	FLORIDA
11	DW785Z	MEDICARE PIN	NEVADA
12	P00885629	OTHER	NEVADA	RAILROAD MEDICARE
13	H45112	MEDICARE UPIN	OHIO
14	6054447	OTHER	NEVADA	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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