Organization Active NPI

Nesburg Inc.

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1649511973
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NESBURG INC.
Practice address
3350 Wilkens Avenue
Suite 302
Baltimore, MD 21229
Phone
(443) 722-0954
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Abiola Obatuase, NPNPI 1679086813
Title
Owner
Phone
(443) 722-0954

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3350 Wilkens Avenue
Suite 302
Baltimore, MD 21229

Mailing address

3350 Wilkens Avenue
Suite 302
Baltimore, MD 21229
Phone (410) 800-4572

Other identifiers 1

IdentifierTypeStateIssuer
5222400300MedicaidMD

Other names 1

  • Guardian Community Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913001678 MD Part B Supplier - Clinic/Group Practice 0143684886 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

3350 Wilkens Ave
Ste 302
Baltimore, MD 21229
Phone (240) 271-7448

11240 Reisterstown Rd
Ste C5
Owings Mills, MD 21117
Phone (410) 800-4572

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1649511973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVENUE",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-800-4572",
            "fax_number": "410-286-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVENUE",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "443-722-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESBURG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "OBATUASE",
        "authorized_official_first_name": "ABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-722-0954",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5222400300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Community Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.