NPIMap

Organization Active NPI

Erosun Medical Care

  • Health Service Clinic/Center
  • Towson, MD
National Provider Identifier
1497417273
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EROSUN MEDICAL CARE
Practice address
1045 Taylor Ave Ste 101
Towson, MD 21286-8357
Phone
(410) 296-4641
NPI assigned
Oct 9, 2021
Organization subpart
Yes
Parent organization
EROSUN BEHAVIORAL HEALTH SERVICES INC,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Authorized official

Name
Segun Oladunni, MA
Title
Ceo
Phone
(410) 296-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1045 Taylor Ave Ste 101
Towson, MD 21286-8357

Mailing address

1045 Taylor Ave Ste 101
Towson, MD 21286-8357
Phone (410) 296-4641

National Provider Directory

National Provider Directory
Tax ID family
Erosun Behavioral HLTH SVCS3 organizations share this tax ID, including this one
Part of
Erosun Behavioral HLTH SVCS

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1497417273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868357",
            "telephone_number": "410-296-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868357",
            "telephone_number": "410-296-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EROSUN MEDICAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EROSUN BEHAVIORAL HEALTH SERVICES INC,",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "OLADUNNI",
        "authorized_official_first_name": "SEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-296-4641",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.