Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel J Daisley, DO

Individual provider Family Medicine Physician · NPI 1669507505

Samuel J Daisley, DO is a Family Medicine Physician in Andover, Ohio. Licensed in Ohio and Pennsylvania. Registered with an NPI since 2007.

Licensed in
OH, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

149 E Main St Box 1117
Andover, OH 44003-9479
Phone: (440) 293-5555
Fax: (440) 293-6643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34004448 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS006385L (PA)

Record details

NPI number1669507505
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESDecember 9, 2009
Mailing address149 E Main St, Box 1117, Andover, OH 44003-9479

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