DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1407857063

NPI Code Detail

MEDICARE: DR. SAMUEL KWAMI DZODZOMENYO MD

MEDICARE: DR. SAMUEL KWAMI DZODZOMENYO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080S0012X	Pediatric Sleep Medicine Physician	35.070439	OH
2	2084N0400X	Neurology Physician	35070439	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407857063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL KWAMI DZODZOMENYO MD

Provider Business Mailing Address
First Line	:	PO BOX 933432
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0039
Country	:	US
Telephone Number	:	937-641-5072
Fax Number	:	937-641-6129

Provider Business Practice Location Address
First Line	:	1 CHILDRENS PLZ
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1815
Country	:	US
Telephone Number	:	937-641-4000
Fax Number	:	937-641-4500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/11/2025

Similar Medicare Providers

1346181914 — HALEY HURST MD
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3433
Practice Fax:

1801890793 — MICHAEL ALAN RALSTON MD
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3418
Practice Fax: 937-641-5413

1114921657 — JILL VISTORIA NARRON MD
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3418
Practice Fax: 937-641-4500

1639175649 — JOSEPH EUGENE ROSS MD
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3418
Practice Fax: 937-641-4500

1437156973 — LUBABATU ABDURRAHMAN MD
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3418
Practice Fax: 937-641-4500

1649279530 — KIMBERLY S SPARKS CRNA
Practice Location Address:

1 CHILDRENS PLZ
DAYTON, OH
45404-1815

Practice Phone: 937-641-3477
Practice Fax: 937-641-5410

Directions to “ DR. SAMUEL KWAMI DZODZOMENYO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.