| Moses Obura, | |
|
516 N Rolling Rd Ste 304, Catonsville, MD 21228-4133 | |
| (410) 744-0890 | |
| (410) 744-2007 |
| Full Name | Moses Obura |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 516 N Rolling Rd Ste 304, Catonsville, Maryland |
| 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 |
|---|---|---|---|
| 1518514371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | R207580 (Maryland) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | R207580 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Levindale Hebrew Geriatric Center And Hospital | Baltimore, MD | Hospital |
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Northwest Hospital Center | Randallstown, MD | Hospital |
| Carroll Hospital Center | Westminster, MD | Hospital |
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-atlantic Nephrology Associates Pa | 2769469006 | 55 |
| Post Acute Physician Partners Llc | 8224353891 | 37 |
| Entity Name | Northwest Hospital Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508961988 PECOS PAC ID: 6204739352 Enrollment ID: O20040128000328 |
| Entity Name | Mid-atlantic Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356390108 PECOS PAC ID: 2769469006 Enrollment ID: O20040702001212 |
| Entity Name | University Of Maryland St Joseph Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
| Entity Name | Post Acute Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710385554 PECOS PAC ID: 8224353891 Enrollment ID: O20150203001077 |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Obura, 1589 Sulphur Spring Rd Ste 109, Baltimore, MD 21227-2542 Ph: (410) 536-5400 | Moses Obura, 516 N Rolling Rd Ste 304, Catonsville, MD 21228-4133 Ph: (410) 744-0890 |