Provider Demographics
NPI:1275381964
Name:UPSURGE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:UPSURGE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIGBAMU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP DNP
Authorized Official - Phone:410-303-0057
Mailing Address - Street 1:10451 MILL RUN CIRCLE
Mailing Address - Street 2:SUITE 730 OWINGS MILLS
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-357-3256
Mailing Address - Fax:410-357-3256
Practice Address - Street 1:10451 MILL RUN CIRCLE
Practice Address - Street 2:SUITE 730 OWINGS MILLS
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-357-3256
Practice Address - Fax:410-357-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty