Samuel O Fadare Jr. (NPI# 1184685802, PAC ID# 7012914997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1184685802 |
| PAC ID by PECOS | 7012914997 |
| Professional Enrollment ID | I20090211000649 |
| Full Name | Samuel O Fadare Jr. |
| Address |
601 S Hwy 169 Saint Lukes Northland Hopital Smithville Smithville MO 64089-9317 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5830 Nw Barry Rd, Saint Luke's Northland Hospital, Kansas City, MO 64154-2778 | ||
| 724 N 22nd St, Saint Joseph, MO 64506-2604 | 8163641501 | FAMILY GUIDANCE CENTER FOR BEHAVIORAL HEALTHCARE |
| 601 S Hwy 169, Saint Lukes Northland Hopital Smithville, Smithville, MO 64089-9317 |
| Street Address |
601 S HWY 169 SAINT LUKES NORTHLAND HOPITAL SMITHVILLE |
| City | SMITHVILLE |
| State | MO |
| Zip | 64089-9317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brock D Burkman | Podiatry | 1503 S Us Hwy 169, Suite E, Smithville, MO 64089-8350 | |
| Linda A Buckmiller | Chiropractic | 1503 S Us Hwy 169, Suite C, Smithville, MO 64089-8350 | |
| Ryan Michael Soat | Physical Therapy | Serc Rehabilitation Partners LLC | 14802 Shamrock Way C, Serc Smithville, Smithville, MO 64089-8381 |
| Nicholas C Noll | Psychologist, Clinical | 15515 Mount Olivet St, Smithville, MO 64089-9076 | |
| Neelofar Lalani | Psychiatry | Saint Lukes Physician Group Inc | 601 S 169 Hwy, Smithville, MO 64089-9317 |
| Carl D Dirks | Internal Medicine | Saint Lukes Physician Group Inc | 601 S Us Hwy 169, Smithville, MO 64089-9317 |
| Kristina M Calkins | Nurse Practitioner | Saint Lukes Physician Group Inc | 601 S Us Hwy 169, Smithville, MO 64089-9317 |
| Douglas Ross Perryman | Obstetrics/gynecology | Saint Lukes Physician Group Inc | 601 S Us Hwy 169, Smithville, MO 64089-9317 |
| Catherine J Spangler | Nurse Practitioner | Saint Lukes Physician Group Inc | 601 S Us Hwy 169, Smithville, MO 64089-9317 |
| Kelly K. Bush | Nurse Practitioner | Saint Lukes Physician Group Inc | 601 S Us Hwy 169, Smithville, MO 64089-9317 |
| Find all physicians in zip 64089 | |||
| City | SMITHVILLE |
| Zip Code | 64089 |
| Specialty | PSYCHIATRY |
| City + Specialty | SMITHVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Samuel O Fadare Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.