Upsurge Health Services LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

UPSURGE HEALTH SERVICES LLC

Practice address

10451 Mill Run Circle
Suite 730 Owings Mills
Owings Mills, MD 21117

Phone

(410) 357-3256

Fax

(410) 357-3256

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Samson Arigbamu, CRNP DNPNPI 1033620398

Title

Owner

Phone

(410) 303-0057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samson Olanrewaju Arigbamu, CRNP

  • Gerontology Nurse Practitioner
  • Owings Mills, MD
  • NPI 1033620398
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1275381964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIRCLE",
            "address_2": "SUITE 730 OWINGS MILLS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-357-3256",
            "fax_number": "410-357-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIRCLE",
            "address_2": "SUITE 730 OWINGS MILLS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-357-3256",
            "fax_number": "410-357-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSURGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "ARIGBAMU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-303-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP DNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.