Dr. Samuel Odame Anim

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Dr. Samuel Odame Anim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Dr. Samuel Odame Anim
Credential :	MD
Gender :	Male

Business Address:

Dr. Samuel Odame Anim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	801 Broadway N Fargo, ND, 58102-3641 United States
Phone Number :	701-234-2000
Fax Number :	701-234-2345

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1053514844
NPI Entity Type :	Individual
First Enrolment Date :	08 Jun, 2007
Last Updated On :	30 Aug, 2022

Medicare Participation:

Dr. Samuel Odame Anim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3779739917
Medicare Enrollment ID :	I20221004002017
Primary Specialty :	Hematology/oncology
Medical School :	Other
Graduation Year :	2001
Accepts Medicare?	Yes. Dr. Samuel Odame Anim accepts medicare insurance.

Group Practice Association:

Dr. Samuel Odame Anim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Samuel Odame Anim is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Hospitals Medical Group Inc	4789682493	1414	11100 Euclid Ave Cleveland, OH - 441061716 Ph: 2168441000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Odame Anim are as mentioned. Primary taxonomy code for Dr. Samuel Odame Anim, MD is 2080P0207X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301087288	MI
2080P0207X	Pediatrics	No	54658	MN
390200000X	Student in an Organized Health Care Education/Training Program	No	4301087288	MI
2080P0207X	Pediatrics	Yes	11958	ND

Legacy Identifiers:

Other legacy medical identifiers of Dr. Samuel Odame Anim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
16941	MEDICAID	ND
N717854	MEDICARE PIN	ND
N717855	MEDICARE PIN	ND

Other Practice Locations:

Practice Address	City, State	Phone Number
820 4TH ST N, FARGO, ND, 58102-4539 United States	FARGO, ND	701-234-7544

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 5074 Sioux Falls, SD, 57117-5074 United States
Phone Number :	605-328-6585

Business Location:

Patients can refer following map for directions to Dr. Samuel Odame Anim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.