SAMSON K ORUSA PC (NPI# 1770715013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770715013 |
| Entity Type | Organization |
| Organization Name | SAMSON K ORUSA PC |
| Practice Address |
261 Stonecrossing Dr Clarksville TN 37042-8404 |
| Practice Telephone | 9319064366 |
| Practice Fax Number | 9319064365 |
| Mailing Telephone | 9319064366 |
| Mailing Fax Number | 9319064365 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DR. SAMSON KANLA ORUSA (PRESIDENT.) |
| Authorized Official Telephone | 9319064366 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
28275 | TN | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
28275 | TN | Ambulatory Health Care Facilities |
| Street Address |
261 STONECROSSING DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37042-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346388568 | Samson Kanla Orusa | Internal Medicine | 261 Stonecrossing Dr, Clarksville, TN 37042-8404 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275186603 | Elizabeth Louise Eckart | Physical Therapist | 305 Rue Le Mans Dr., Clarksville, TN 37042 | 2019-07-24 |
| 1740844802 | Lana Sperry | Speech-Language Pathologist | 1255 Northfield Drive, Clarksville, TN 37042 | 2019-04-24 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1336590058 | Bobby Bonner Jr. | Case Manager/Care Coordinator | 1697putnum Drive, Clarksville, TN 37042 | 2016-06-23 |
| 1184078040 | Sheena Williams | Counselor | 901 Martin St., Clarksville, TN 37042 | 2016-04-18 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1346621323 | Rocky Mountain Holdings, LLC | Ambulance | 248 Outlaw Field Rd, Clarksville, TN 37042 | 2015-06-15 |
| 1528448974 | Tennessee State Veterans Home Board | Skilled Nursing Facility | 250 Arrowood Drive, Clarksville, TN 37042 | 2015-06-01 |
| 1851709331 | Brent Michael Hazlewood | Dentist | 466 Tiny Town Rd, Ste A, Clarksville, TN 37042 | 2014-07-28 |
| 1619304318 | Regina G Goldwire | Nurse Practitioner | 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 | 2013-09-26 |
| Find all providers in zip 37042 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295130755 | Clarksville Montgomery County School System | Clinic/Center | 350 Pageant Ln, Suite 307, Clarksville, TN 37040-8606 | 2014-10-27 |
| 1861802290 | Ulticare | Clinic/Center | 11901 Evening Ct, Clarksville, MD 21029-1252 | 2014-05-07 |
| 1528257532 | Riverside Medical Associates PC | Clinic/Center | 127 Dean Dr, Clarksville, TN 37040-3981 | 2007-10-16 |
| 1225648108 | One To One Health Pllc | Clinic/Center | 130 N Spring St, Clarksville, TN 37040-3240 | 2020-08-05 |
| 1942754429 | Clarksville Family Practice LLC | Clinic/Center | 341 E Main St, Clarksville, OH 45113-8683 | 2016-08-12 |
| 1679952576 | Denise Tittle Dba Best Care Clinic | Clinic/Center | 1817a Madison St, Suite 3, Clarksville, TN 37043-2930 | 2015-05-26 |
| 1679966717 | Caring Family Practice | Clinic/Center | 1750 Memorial Dr, Suite B, Clarksville, TN 37043-6356 | 2015-03-13 |
| 1649574211 | Covenant Family Practice | Clinic/Center | 1000 Highway 76, Clarksville, TN 37043-8405 | 2010-12-22 |
| 1528361730 | Covenant Family Practice | Clinic/Center | 1000 Highway 76, Clarksville, TN 37043-8405 | 2010-12-09 |
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|---|---|---|---|---|
| 1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37042 |
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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.