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NPI · 1720050495 · NPPES-sourced

Samuel Park MD

ActiveAnatomic & Clinical Pathology
NPI Number
1720050495
Type 1 · Individual
Taxonomy Code
207ZP0102X
Contact
(815) 489-4267
License IL · 036063669
Last Updated
Enumerated
Primary practice addressIL · 61104-2224
1400 Charles StRockford, IL 61104-2224
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About this NPIWhat this record shows.

NPI 1720050495 is registered to Samuel Park MD, a Anatomic & Clinical Pathology practising at 1400 Charles St in Rockford, Illinois. Anatomic & Clinical Pathology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Samuel Park MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Samuel Park MD accepts. To confirm in-network status with your specific health plan, contact Samuel Park MD directly at (815) 489-4267.

Frequently asked

Yes. NPI 1720050495 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Anatomic & Clinical Pathology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (815) 489-4267.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Samuel Park MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207ZP0102X
Last updated
Enumerated
StatusActive
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