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Active NPI 1366763567 Individual Practitioner Male Practitioner

Dr. Samuel G Hawk , DO

General Practice • Ham Lake, MN

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Hawk, DO is a registered healthcare professional specializing in General Practice in Ham Lake, MN. Practice services are available at 14326 ROCHESTER ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14326 Rochester St Ne

Ham Lake, MN 553046266

Telephone 6124862226

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ham Lake, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Ham Lake, MN (95 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI DOS-1424

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 08, 2021

Registered at 14326 ROCHESTER ST NE, HAM LAKE, MN 553046266 (Tel: 6124862226)

📍
Updated Business Mailing Address July 08, 2021

Registered at 14326 ROCHESTER ST NE, HAM LAKE, MN 553046266 (Tel: 6124862226)

📍
Updated Practice Location December 05, 2018

Registered at 1345 S BERETANIA ST STE 101, HONOLULU, HI 968141802 (Tel: 8087442543)

📍
Updated Business Mailing Address December 05, 2018

Registered at 1345 S BERETANIA ST STE 101, HONOLULU, HI 968141802 (Tel: 8087442543)

✅
NPI Profile Active May 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2013

Registered at 3221 WAIALAE AVE STE 360, HONOLULU, HI 968165849 (Tel: 8087442543)

📍
Updated Business Mailing Address May 15, 2013

Registered at 3221 WAIALAE AVE STE 360, HONOLULU, HI 968165849 (Tel: 8087442543)

👤
Provider Name / Credentials Updated May 15, 2013

Recorded as SAMUEL HAWK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2013

General Practice (License #DOS-1424 in HI)

🟢
Initial NPI Registration & Enumeration June 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366763567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: July 08, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

14326 Rochester St Ne

Ham Lake, MN 553046266

Phone: 6124862226

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.