IndividualActive
Samuel Owusu, M.D.
NPI 1619930484 · Obstetrics & Gynecology Physician · Port Matilda, PA
Provider details
- NPI number
- 1619930484
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD073242L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
132 Abigail Ln
Port Matilda, PA 16870-7153
Phone: (814) 272-7100
Fax: (814) 272-6501
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.