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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
251322 | LAIRD HOSPITAL INC |
251300 | LACKEY MEMORIAL HOSPITAL |
250069 | RUSH FOUNDATION HOSPITAL |
Address | Phone | Organization |
---|---|---|
9421 Eastside Dr Ext, Newton, MS 39345-8063 | 6016833001 | |
25117 Hwy 15, Union, MS 39365-9088 | 6017748214 | LAIRD HOSPITAL, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Street Address |
9421 EASTSIDE DR EXT |
City | NEWTON |
State | MS |
Zip | 39345-8063 |
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 |
City | NEWTON |
Zip Code | 39345 |
Specialty | FAMILY MEDICINE |
City + Specialty | NEWTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Samuel O Olaleye.
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.