DR. SAMUEL OMOTOYE (NPI# 1033544135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033544135 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL OMOTOYE |
| Credential | M.D., FRCPC |
| Practice Address |
2410 Atherholt Rd Lynchburg VA 24501-2148 |
| Practice Telephone | 4342002712 |
| Practice Fax Number | 4342002851 |
| Mailing Telephone | 4342002712 |
| Mailing Fax Number | 4342002851 |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35.120322 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.120322 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35.120322 | OH | Allopathic & Osteopathic Physicians |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
35.120322 | OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| Street Address |
2410 ATHERHOLT RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312609 | Kenneth E Saum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-10 |
| 1841808052 | Connor David Middlekauff | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-07-14 |
| 1235762915 | Jennifer L Mccoy | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-02-20 |
| 1043855356 | Virginia Leigh Blevins | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-11-11 |
| 1831747955 | Blakley Walker Sproles | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-09-02 |
| 1508411323 | James Mark Marcouillier | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-08-08 |
| 1962062109 | Taylor Grasser | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-19 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1669949277 | Abigail Jean Newton | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-11-01 |
| 1245707140 | John N Smiley | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588681316 | Richard S Kuk | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-07-16 |
| 1386628774 | Matthew Sackett | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1497943344 | Saumil R Shah | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225 | 2007-10-04 |
| 1770671711 | Sarfraz Durrani | Internal Medicine | 3020 Hamaker Ct Ste 401, Fairfax, VA 22031-2220 | 2006-10-11 |
| 1376630988 | Neoma S George | Internal Medicine | 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 | 2006-10-06 |
| 1205819521 | Scott Kaufman | Internal Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1929 | 2005-11-21 |
| 1306304217 | Virginia Arrhythmia Consultants Pllc | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225-5513 | 2019-03-10 |
| 1356850598 | Oliver James Monfredi | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2017-09-20 |
| 1104163542 | Fairfax Arrhythmia, Pllc | Internal Medicine | 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 | 2013-01-04 |
| 1265731491 | Stephen Andrew Gaeta | Internal Medicine | 3020 Hamaker Ct Ste 101, Fairfax, VA 22031-2233 | 2011-03-28 |
| 1396056982 | Fort Norfolk Plaza Medical Associates, LLC | Internal Medicine | 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 | 2010-06-29 |
| Find all providers with the same taxonomy | ||||
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| 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.