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Samuel Mckinnon, MD, MSC
NPI 1083405963 · Pediatrics Physician · Philadelphia, PA
Samuel Mckinnon, MD, MSC is a Pediatrics Physician provider in Philadelphia, PA (NPI 1083405963).
Provider details
- NPI number
- 1083405963
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MSC
- Sex
- Male
- Sole proprietor
- No
- License
- MT233337 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1220
Street-level locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Samuel Mckinnon's NPI number?
- Samuel Mckinnon's National Provider Identifier (NPI) is 1083405963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Mckinnon's specialty?
- Samuel Mckinnon is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Mckinnon located?
- Samuel Mckinnon's practice location on file with NPPES is 3401 Civic Center Blvd, Philadelphia, PA 19104-4319.
- What is Samuel Mckinnon's phone number?
- The practice phone number listed in the NPPES registry for Samuel Mckinnon is (215) 590-1220.
- Is Samuel Mckinnon's NPI active?
- Yes — Samuel Mckinnon's NPI (1083405963) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.