Simi Okuboye (NPI# 1942330667, PAC ID# 5294800934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1942330667 |
| PAC ID by PECOS | 5294800934 |
| Professional Enrollment ID | I20080815000024 |
| Full Name | Simi Okuboye |
| Organization Legal Name | MARYLAND BRAIN SPINE AND PAIN LLC |
| Address |
130 Love Point Rd Stevensville MD 21666-2132 |
| Phone Number | 4102662720 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618963646 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4201 N View Dr, Suite 101, Bowie, MD 20716-2644 | 4102662720 | MARYLAND BRAIN SPINE AND PAIN LLC |
| 130 Love Point Rd, Stevensville, MD 21666-2132 | 4102662720 | MARYLAND BRAIN SPINE AND PAIN LLC |
| Organization Legal Name | MARYLAND BRAIN SPINE AND PAIN LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Sullivan | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Tushar Sharma | Pain Management | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Gary A Dix | Neurosurgery | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kerrie L Sullivan | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Wendy Riekers | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Karen J Scott | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin Slayton | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Franklin R Hepfer | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Alexandre Andre Debetencourt | Physician Assistant | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Kevin A Asonglefac | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 1000 Bestgate Rd, Suite 400, Annapolis, MD 21401-3371 |
| Street Address |
130 LOVE POINT RD |
| City | STEVENSVILLE |
| State | MD |
| Zip | 21666-2132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Hallen Flasar | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Suite 106, Stevensville, MD 21666-2132 |
| Michael N Peters | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Suite 106, Stevensville, MD 21666-2132 |
| Anthony J Calabrese | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Stevensville, MD 21666-2132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Bruce Minteer | Clinical Social Worker | 101 Log Canoe Cir, Suite F, Stevensville, MD 21666-2106 | |
| Jerren Emerson Pellicano | Clinical Social Worker | 139 Log Canoe Cir, Stevensville, MD 21666-2127 | |
| Don Schmitt | Clinical Social Worker | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Cynthia Agyeman-anane | Clinical Social Worker | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Dana L Demaso | Psychologist, Clinical | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Catherine Marie Smithmyer | Psychologist, Clinical | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Anne Lagor | Clinical Psychologist | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Kelly Myott Bigelow | Physical Therapy | Advanced Pain Management Specialists LLC | 120 Sallitt Dr, Suite D, Stevensville, MD 21666-2154 |
| Lisa Anderson | Dermatology | Anne Arundel Dermatology Pa | 115 Sallitt Dr, Suite E, Stevensville, MD 21666-2156 |
| Amy Hoffman | Physician Assistant | Anne Arundel Dermatology Pa | 115 Sallitt Dr, Suite E, Stevensville, MD 21666-2156 |
| Find all physicians in zip 21666 | |||
| City | STEVENSVILLE |
| Zip Code | 21666 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STEVENSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Simi Okuboye.
| 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.