| Akpomudiare Samuel Otuguor, MD | |
|
535 N Central Ave, Hapeville, GA 30354-1603 | |
| (404) 761-4040 | |
| (404) 761-4008 |
| Full Name | Akpomudiare Samuel Otuguor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 535 N Central Ave, Hapeville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154534303 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paris Regional Health | Paris, TX | Hospital |
| Lawton Indian Hospital | Lawton, OK | Hospital |
| Baylor Scott & White Emergency Hospital | Aubrey, TX | Hospital |
| Mid Coast Medical Center - Central | Llano, TX | Hospital |
| Faith Community Hospital | Jacksboro, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 189 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 319 |
| Entity Name | Third Coast Emergency Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126 |
| Entity Name | Lawton Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | North Texas Physician Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Entity Name | Lake Granbury Hospital-based Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607 |
| Entity Name | Tyler Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225898034 PECOS PAC ID: 3678912870 Enrollment ID: O20240422000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Akpomudiare Samuel Otuguor, MD 535 N Central Ave, Hapeville, GA 30354-1603 Ph: (404) 761-4040 | Akpomudiare Samuel Otuguor, MD 535 N Central Ave, Hapeville, GA 30354-1603 Ph: (404) 761-4040 |
Hedy Urueta Mazzilli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Virginia Ave Ste 100, Hapeville, GA 30354 Phone: 404-537-1636 Fax: 404-537-1638 |