Active NPI
Scott R. Samlan, M.D.
- Emergency Medicine Physician
- Greenville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036114902
- Practice address
- 200 Health Care Dr
Greenville, IL 62246-1154 - Phone
- (618) 664-1230
- NPI assigned
- Jul 23, 2006
- Last updated
- May 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01066568A | IN | |
| Emergency Medicine Physician | 207P00000X | 036114902 | IL | Primary |
Addresses
Primary practice location
200 Health Care Dr
Greenville, IL 62246-1154
Mailing address
4217 Terri Lyn Lane
Northbrook, IL 60062
Phone (312) 404-9945
Other practice location 1
5645 W Addison St
Our Lady of the Resurrection Hospital
Chicago, IL 60634-4403
Phone (773) 282-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114902 | IL | MD | Emergency Medicine Physician |
| 01066568A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Emergency Medicine | Current | Accepting new patients |
| Vituity - Illinois Auc LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1306334198
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Emergency Medicine Physician
- Shiloh, IL
- NPI 1134587637
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- O'Fallon, IL
- NPI 1487142022
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1477575306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4217 TERRI LYN LANE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "60062",
"telephone_number": "312-404-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTH CARE DR",
"city": "GREENVILLE",
"state": "IL",
"postal_code": "622461154",
"telephone_number": "618-664-1230"
}
],
"practiceLocations": [
{
"address_1": "5645 W Addison St",
"address_2": "Our Lady of the Resurrection Hospital",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606344403",
"country_code": "US",
"telephone_number": "773-282-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMLAN",
"first_name": "SCOTT",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01066568A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036114902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, IL
- Lance Sterling Rahden, D.C.
- Nicholas D Rathert, MD
- Rosenburg Chiropractic, LLC
- Raymond J Ryan Jr., MD
- Zachary D Rynerson, M.D
- Jacob Benjamin Sanning, M.D.
- Sarah Bush Lincoln Health Center (FCH Greenville Family Medicine Clinic)
- Anne Elizabeth Schomaker, LCSW
- Michael David Schultheis, MD
- Veronica Beth Schuster, MA, QMHP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.