Samson Olaitan, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Batesville, AR
NPI 1245409135 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1245409135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1993 Harrison St Ste 302
Batesville, AR 72501-7309 - Phone
- (870) 793-2540
- NPI assigned
- Feb 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
Practice addresses (Care Compare)
2000 Harrison St
Batesville, AR 72501-7444
Phone (870) 469-4290
2450 Batesville Blvd
Southside, AR 72501-7782
Phone (870) 569-4934
4100 Harrison St
Batesville, AR 72501-9419
Phone (870) 793-4600
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
Hospital & facility affiliations
- White River Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, DC, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080627000093 | MD | Practitioner - Physician Assistant | 8628140100 | Reassigns benefits to 1 organization |
| I20110707000438 | DC | Practitioner - Physician Assistant | 8628140100 | Reassigns benefits to 1 organization |
| I20260218001585 | AR | Practitioner - Family Practice | 8628140100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-19944 | AR | MD | Family Medicine Physician |
| C0003400 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Steven Remsen, MD PA | Physician Assistant | Past | Accepting new patients |
| Doctors Community Medical Group LLC | Past | Accepting new patients | |
| Ez Primed LLC | Past | Accepting new patients | |
| Johns Hopkins Emergency Medical | Past | Accepting new patients | |
| Matrix House Physicians PA | Past | Accepting new patients |
Locations
623 N 9th St
#40
Augusta, AR 72006
1175 Vine St
Batesville, AR 72501
Phone (870) 793-4177
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Interoperability endpoints
- samson.olaitan.2@22522.direct.athenahealth.com
- samson.olaitan@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-19944 | AR | |
| Physician Assistant | 363A00000X | C0003400 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1993 Harrison St Ste 302
Batesville, AR 72501-7309
Mailing address
1993 Harrison St
Batesville, AR 72501-7309
Phone (870) 793-2540
Other practice location 1
1175 Vine St
Batesville, AR 72501-3526
Phone (870) 793-4600
Other providers in Batesville, AR
- Oak Park Medical C,Linic, P.a.
- Nelson A. Obikwu
- Occuplaytional Therapy Services
- Odyssey Healthcare Operating a, LP
- Lisa Ohlson
- Rachel Olson
- Desiree L Orosz
- Mary B Orr
- Paige Osborn
- Brittney Oster
All providers in Batesville, AR · Student in an Organized Health Care Education/Training Program in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.