Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770728289 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Wendell Obetz , MD

Specialist • Rochester, MN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Obetz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2008
NPI Deactivation Date October 14, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Obetz, MD was a registered Specialist practicing in Rochester, MN. Throughout an active medical career spanning 12 years, Dr. Obetz provided care at the practice location at 2015 LENWOOD DR SW until profile deactivation on 2020-10-14.

Practice Location & Contact Primary Location

Practice Address

2015 Lenwood Dr Sw

Rochester, MN 559021051

Telephone 5072882386

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Rochester, MN (877 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 16371

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 14, 2020

Record deactivated on October 14, 2020

NPI Profile Active December 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2008

Registered at 2015 LENWOOD DR SW, ROCHESTER, MN 559021051 (Tel: 5072882386)

📍
Updated Business Mailing Address December 11, 2008

Registered at 2015 LENWOOD DR SW, ROCHESTER, MN 559021051 (Tel: 5072882386)

👤
Provider Name / Credentials Updated December 11, 2008

Recorded as SAMUEL OBETZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2008

Specialist (License #16371 in MN)

🟢
Initial NPI Registration & Enumeration December 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Obetz. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Obetz

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770728289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2008
Last Update: December 11, 2008
Deactivation Date: October 14, 2020

Mailing Address

2015 Lenwood Dr Sw

Rochester, MN 559021051

Phone: 5072882386

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.