Individual provider Active NPI

Abayomi Samuel Soge, R.N.

  • Registered Nurse
  • Galloway, OH
National Provider Identifier
1952555450
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN. 316469 Issued in OH
Practice address
579 Olde Castle CT
Galloway, OH 43119-9336
Phone
(614) 202-9526
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN. 316469 OH Primary

Addresses

Primary practice location

579 Olde Castle CT
Galloway, OH 43119-9336

Mailing address

579 Olde Castle CT
Galloway, OH 43119-9336
Phone (614) 202-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN. 316469OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Abayomi Samuel Soge Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1952555450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 OLDE CASTLE CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199336",
            "telephone_number": "614-202-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 OLDE CASTLE CT",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199336",
            "telephone_number": "614-202-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGE",
        "first_name": "ABAYOMI",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 316469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.