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SAMUEL O FADARE, MD, PC
NPI 1639287824
Clinic/Center - Adult Mental Health in Gladstone, MO

Active since August 28, 2006
5604 NE ANTIOCH RD, GLADSTONE, MO 64119(660) 372-1313(660) 372-1339 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2020, Nov 15, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Samuel O Fadare, Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL O FADARE, MD, PC (NPI 1639287824) is a healthcare organization registered as an adult mental health in Gladstone, Missouri and active in the NPI registry since August 2006. The organization lists Samuel O Fadare, Owner, as its authorized official.

NPPES Registry Identity

NPI1639287824
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSAMUEL O FADARE, MD, PA
Location Address5604 NE ANTIOCH RDGladstone, MO 64119-2327
Mailing Address1513 Union Ave Ste 2500Moberly, MO 65270-9412 · (660) 372-1313 · Fax (660) 372-1339
Phone(660) 372-1313
Fax(660) 372-1339
Organization SubpartNo
Authorized OfficialSamuel O FadareOwner · (816) 225-6735
Enumeration DateAugust 28, 2006
Last NPPES UpdateDecember 8, 20204 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1639287824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
5604 NE ANTIOCH RD, Gladstone, MO 64119
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Other Names 1

Doing Business AsSamuel O Fadare, Md, Pc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL O FADARE JR. MD
Psychiatry & Neurology (Psychiatry)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (660) 372-1313
JOY NNEKA EKE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (660) 372-1313
MADISON NICOLE BURNETT
Behavior Analyst
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (816) 533-5057
DR. GERALD E WALTON D.D.S.
Dentist (General Practice)
5604 NE ANTIOCH RD
GLADSTONE, MO 64119
Clay County (816) 453-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel O Fadare, MD, PA's NPI number?

The NPI number for Samuel O Fadare, MD, PA is 1639287824. It was assigned to this organization in the NPPES registry on August 28, 2006. The provider is doing business as Samuel O Fadare, MD, PC.

Where is Samuel O Fadare, MD, PA located?

Samuel O Fadare, MD, PA is located at 5604 NE Antioch Rd, Gladstone, MO 64119. The listed phone number is (660) 372-1313.

What is Samuel O Fadare, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Samuel O Fadare, MD, PA accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Samuel O Fadare, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel O Fadare, MD, PA was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.