Samuel O Olaleye


Address: 9421 Eastside Dr Ext, Newton, MS 39345-8063
Phone: 6016833001

Samuel O Olaleye (NPI# 1821006644, PAC ID# 1153325568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1821006644
PAC ID by PECOS 1153325568
Professional Enrollment ID I20060825000477
Full Name Samuel O Olaleye
Address 9421 Eastside Dr Ext
Newton
MS 39345-8063
Phone Number 6016833001
Gender M
Credential MD
Graduation Year 1998
Primary Specialty FAMILY MEDICINE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
251322 LAIRD HOSPITAL INC
251300 LACKEY MEMORIAL HOSPITAL
250069 RUSH FOUNDATION HOSPITAL

Other Locations

Address Phone Organization
9421 Eastside Dr Ext, Newton, MS 39345-8063 6016833001
25117 Hwy 15, Union, MS 39365-9088 6017748214 LAIRD HOSPITAL, INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 9421 EASTSIDE DR EXT
City NEWTON
State MS
Zip 39345-8063

Physicians in the same zip code

Name Specialty Organization Address
Meagan N Chaney Nurse Practitioner Independent Healthcare Management Inc 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063
Elizabeth Pitts Nurse Practitioner Independent Healthcare Management Inc 9427 Eastside Dr Ext, Suite A, Newton, MS 39345-8063
Cheralyn Deanne Harris Audiologist 928 Pine Bluff Rd, Newton, MS 39345-9138

Competitor

Search similar physicians

City NEWTON
Zip Code 39345
Specialty FAMILY MEDICINE
City + Specialty NEWTON + FAMILY MEDICINE

Improve Information

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Dataset Information

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.

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