NPIMap

Organization Active NPI

Osama Al-Samkari M.D. Inc

  • Clinic/Center
  • Dayton, OH
National Provider Identifier
1083953103
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3540644 Issued in OH
Legal business name
OSAMA AL-SAMKARI M.D. INC
Practice address
1121 Linden Ave
Dayton, OH 45410-2851
Phone
(937) 258-1467
Fax
(937) 258-0236
NPI assigned
Feb 8, 2013
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Osama Al-Samkari, M.D.NPI 1780654996
Title
Owner
Phone
(937) 258-1467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3540644 OH Primary

Addresses

Primary practice location

1121 Linden Ave
Dayton, OH 45410-2851

Mailing address

1121 Linden Ave
Dayton, OH 45410-2851
Phone (937) 258-1467

Other identifiers 1

IdentifierTypeStateIssuer
0404735MedicaidOH

National Provider Directory

National Provider Directory

Locations

1121 Linden Ave
Dayton, OH 45410
Phone (937) 258-1405

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1083953103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 LINDEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454102851",
            "telephone_number": "937-258-1467",
            "fax_number": "937-258-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 LINDEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454102851",
            "telephone_number": "937-258-1467",
            "fax_number": "937-258-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAMA AL-SAMKARI M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "AL-SAMKARI",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-258-1467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "3540644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0404735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.