SAMUEL T. DETWILER D.O. LLC NPI 1578648895

NPI Information

  • NPI: 1578648895
  • Provider Name: SAMUEL T. DETWILER, D.O. LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 8231 MAIN ST
    KINSMAN, OH
    ZIP 44428
  • Phone: (330) 876-1111

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NPI Details

SAMUEL T. DETWILER, D.O. LLC is a family medicine in Kinsman, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAMUEL T. DETWILER, D.O. LLC NPI is 1578648895. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8231 MAIN ST
KINSMAN, OH
ZIP 44428-514
Phone: (330) 876-1111
Fax: (330) 876-1005

The provider's authorized official is Samuel T Detwiler .
The authorized official title is President and has the following contact phone number (330) 876-1111.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 9/9/2007.

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
1363LF0000XNurse PractitionerFamilyNP-04053OHIONo
2207Q00000XFamily Medicine34-007985OHIOYes

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
1DA4565MEDICARE ID-TYPE UNSPECIFIEDOHIORAILROAD MEDICARE
29334601MEDICARE ID-TYPE UNSPECIFIEDOHIO
32760016MEDICAIDOHIO

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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