DR. THOMAS SAMUELSEN MD NPI 1467431858

NPI Information

  • NPI: 1467431858
  • Provider Name: DR. THOMAS SAMUELSEN, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 1155 E MOUNTAIN BLVD
    WILKES BARRE, PA
    ZIP 18702
  • Phone: (570) 808-7916

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NPI Details

DR. Thomas Samuelsen, MD is an obstetrics gynecology in Wilkes Barre, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Thomas Samuelsen, MD NPI is 1467431858. 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:

1155 E MOUNTAIN BLVD
WILKES BARRE, PA
ZIP 18702-906
Phone: (570) 808-7916
Fax: (570) 808-6006

The enumeration date for this NPI number is 1/13/2006 and was last updated on 8/10/2020.

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
1207V00000XObstetrics & GynecologyMD043615LPENNSYLVANIAYes
2207VG0400XObstetrics & GynecologyGynecologyMD043615LPENNSYLVANIANo

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
1001234828MEDICAIDPENNSYLVANIA

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: 11/21/2025

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