Active NPI
Nesburg Inc.
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1649511973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abiola Obatuase, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5222400300 | Medicaid | MD |
Other names 1
- Guardian Community Health Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1679086813
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.