Samson Olanrewaju Arigbamu
Nurse Practitioner (Gerontology)

Address: 4800 Seton Drive, Baltimore, Baltimore, MD 21215
Phone: 4103583410

Samson Olanrewaju Arigbamu (NPI# 1033620398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033620398
Entity Type Individual
Full Name Samson Olanrewaju Arigbamu
Credential CRNP
Gender Male
Practice Address 4800 Seton Drive
Baltimore
Baltimore
MD 21215
Practice Telephone 4103583410
Practice Fax Number 4103584938
Mailing Address 4800 Seton Drive
Baltimore
Baltimore
MD 21215
Mailing Telephone 4103583410
Mailing Fax Number 4103584938
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-10-13
Last Update Date 2017-10-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LG0600X Nurse Practitioner · Gerontology Physician Assistants & Advanced Practice Nursing Providers R161520 MD

Physician Overview

NPI 1033620398
PAC ID by PECOS 6103188065
Professional Enrollment ID I20180313001809
Full Name Samson Arigbamu
Organization Legal Name SUYI PARK MD AND ASSOCIATES PA
Phone Number 4102259696
Gender M
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2062478159
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1548571417 Nnene Ukoha Nurse Practitioner 6521 Redgate Cir, Baltimore, MD 21228-1146 2010-06-25
1861545881 Jackie Lynn Jones Nurse Practitioner 6105 Pinehurst Rd, Baltimore, MD 21212-2547 2007-01-21
1275545980 Elizabeth Layne Shadis Nurse Practitioner 1331 S Hanover St, Baltimore, MD 21230-4220 2006-08-12
1295712859 Donna Marie Jason Nurse Practitioner 7920 Scotts Level Rd, Baltimore, MD 21208-2629 2005-12-26
1942205380 Barbara Resnick Nurse Practitioner 830 W 40th St, Baltimore, MD 21211-2116 2005-06-14
1538703301 Skylar Grace Dunklebarger Nurse Practitioner 4940 Eastern Ave, Baltimore, MD 21224-2735 2019-11-04
1861046567 Rebecca Whitlock Grochowski Nurse Practitioner 301 Saint Paul Pl, Dept of Med, Baltimore, MD 21202-2165 2019-07-31
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Office Location

Street Address 4800 SETON DRIVE
BALTIMORE
City BALTIMORE
State MD
Zip Code 21215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
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Competitor

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City BALTIMORE
Zip Code 21215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.