Akpomudiare Samuel Otuguor (NPI# 1154534303, PAC ID# 1052468972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1154534303 |
| PAC ID by PECOS | 1052468972 |
| Professional Enrollment ID | I20140923001548 |
| Full Name | Akpomudiare Samuel Otuguor |
| Organization Legal Name | WILLIAMSTON CLINIC CORP |
| Address |
232 Green St Williamston NC 27892-2000 |
| Phone Number | 2528096400 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6709790082 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010085 | DECATUR MORGAN HOSPITAL - DECATUR CAMPUS |
| 010035 | CULLMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2567372000 | ISLAND MEDICAL ALABAMA LLC |
| 1912 Al Hwy 157, Cullman, AL 35058-0609 | ISLAND MEDICAL PERSEUS LLC | |
| 1201 7th St Se, Decatur, AL 35601-3337 | 2563412000 | ISLAND MEDICAL RTR LLC |
| 232 Green St, Williamston, NC 27892-2000 | 2528096400 | WILLIAMSTON CLINIC CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 50% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | WILLIAMSTON CLINIC CORP |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Iannace | General Surgery | Williamston Clinic Corp | 405 S Mccaskey Rd, Suite 401, Williamston, NC 27892-2151 |
| Lawrence N Larabee Jr. | Orthopedic Surgery | Williamston Clinic Corp | 220 Green St, Williamston, NC 27892-2000 |
| Harsh Chawla | Internal Medicine | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Samantha Casper | Nurse Practitioner | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Renea S Price | Nurse Practitioner | Williamston Clinic Corp | 102 Medical Dr, Williamston, NC 27892-2156 |
| Edde Karen Springer | Certified Registered Nurse Anesthetist (crna) | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Dhruva Chawla | Internal Medicine | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Melissa G Oneal | Obstetrics/gynecology | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Karri B Wynne | Certified Registered Nurse Anesthetist (crna) | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Tim H Barber | Certified Registered Nurse Anesthetist (crna) | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Street Address |
232 GREEN ST |
| City | WILLIAMSTON |
| State | NC |
| Zip | 27892-2000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corina Pogodina | Family Medicine | Williamston Clinic Corp | 232 Green St, Williamston, NC 27892-2000 |
| Aixa Perez | Internal Medicine | Williamston Clinic Corp | 232 Green St, Williamston, NC 27892-2000 |
| Melissa Ott | Nurse Practitioner | Williamston Clinic Corp | 232 Green St, Williamston, NC 27892-2000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lashaunda Brown | Clinical Social Worker | Vidant Medical Group LLC | 210 W Liberty St, Williamston, NC 27892-1712 |
| Lawrence N Larabee Jr. | Orthopedic Surgery | Williamston Clinic Corp | 220 Green St, Williamston, NC 27892-2000 |
| Steven Earl Skahill | Internal Medicine | 239 Green St, Williamston, NC 27892-2000 | |
| Annie Bonds | Nurse Practitioner | Williamston Clinic Corp | 220 Green St, Williamston, NC 27892-2000 |
| Teresa W Smith | Nurse Practitioner | Williamston Clinic Corp | 220 Green St, Williamston, NC 27892-2000 |
| Kristin Warren | Physician Assistant | Williamston Clinic Corp | 220 Green St, Williamston, NC 27892-2000 |
| Justin Thomas Daughtry | Emergency Medicine | Martin General Emergency Physicians | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Robert C Mills Jr. | Optometry | Robert C Mills Jr Od Pa | 316 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Harsh Chawla | Internal Medicine | Williamston Clinic Corp | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Benjamin Kessler | Emergency Medicine | Martin General Emergency Physicians | 310 S Mccaskey Rd, Williamston, NC 27892-2150 |
| Find all physicians in zip 27892 | |||
| City | WILLIAMSTON |
| Zip Code | 27892 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WILLIAMSTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Akpomudiare Samuel Otuguor.
| 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.