DR. SAMSON A OMOTOSHO (NPI# 1295005973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295005973 |
| Entity Type | Individual |
| Full Name | DR. SAMSON A OMOTOSHO |
| Practice Address |
2300 Garrison Blvd Suite 104 Baltimore MD 21216-2335 |
| Mailing Address |
10701 Chapeldale Rd Randallstown MD 21133-1044 |
| Practice Telephone | 4102336200 |
| Mailing Telephone | 4438583189 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R115849 | MD | Nursing Service Providers |
| Street Address |
2300 GARRISON BLVD SUITE 104 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434789 | Nisha P. Soprey | Specialist | 2300 Garrison Blvd, Suite 220 B, Baltimore, MD 21216-2335 | 2005-08-22 |
| 1376162974 | Khyanne Mccutchen | Nurse Practitioner | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2020-04-14 |
| 1124589205 | Dawn Maria Millner | Social Worker | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2019-03-29 |
| 1700350352 | Lashanda Roberts | Nurse Practitioner | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2019-01-16 |
| 1174014633 | Priscilla Ojong Bisong | Pharmacist | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2018-05-21 |
| 1801318530 | Rachel Inman | Nurse Practitioner | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2017-07-14 |
| 1063952349 | Carroll Holmes | Counselor | 2300 Garrison Blvd, Baltimore, MD 21216-2335 | 2017-03-06 |
| 1972057339 | Trina Morris | Counselor | 2300 Garrison Blvd, Suite 240, Baltimore, MD 21216-2335 | 2016-08-15 |
| 1255795522 | Daryl Cheatham | Counselor | 2300 Garrison Blvd, Suite 150, Baltimore, MD 21216-2335 | 2016-04-12 |
| 1447614839 | El Elyon Pharmaceutical Inc | Pharmacy | 2300 Garrison Blvd, Suite 200, Baltimore, MD 21216-2335 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770128712 | Keith J Reilley | Registered Nurse | 101 W Read St Unit B03, Baltimore, MD 21201-4906 | 2019-11-13 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1497989339 | Susan Mary Oxendine | Registered Nurse | 164 Brandon Rd, Baltimore, MD 21212-1127 | 2009-05-06 |
| 1528670858 | Qieron Lenae Bowie | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-18 |
| 1336763077 | Sasha Nanji | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-05-28 |
| 1992327035 | Natalie Ann Marchione | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-05-12 |
| 1174176788 | Aniekan Akpan Vincent | Registered Nurse | 3425 Sinclair Ln, Baltimore, MD 21213-2030 | 2019-07-23 |
| 1073043287 | Erin Elizabeth Mcandrew | Registered Nurse | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2017-06-20 |
| 1033641089 | Hilarie Lynn | Registered Nurse | 6501 N Charles St, Neuropsychiatry Clinic, Baltimore, MD 21204-6819 | 2017-03-29 |
| 1346599602 | Eda Griffiths-bascome | Registered Nurse | 401 E Eager St, Baltimore, MD 21202-4214 | 2012-09-02 |
| Find all providers in BALTIMORE | ||||
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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.