ENOCH AGYEMANG (NPI# 1548890304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548890304 |
| Entity Type | Individual |
| Full Name | ENOCH AGYEMANG |
| Practice Address |
146 Short Branch Rd Stafford VA 22556-4642 |
| Practice Telephone | 6786519336 |
| Mailing Telephone | 6786519336 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A673299991 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
146 SHORT BRANCH RD |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1285257915 | Timothy Horner | Emergency Medicine | 3900 Lee Hwy, Arlington, VA 22207-3724 | 2020-05-28 |
| 1073800710 | Moses Tucker Laffitte Iv | Emergency Medicine | 800 Gresham Drive, Norfolk, VA 23507 | 2011-07-01 |
| 1629139969 | Eugene Francis Delaune IIi | Emergency Medicine | 7804 Accotink Pl, Alexandria, VA 22308-1226 | 2006-12-12 |
| 1225103567 | Daniel T Threat Jr. | Emergency Medicine | 4619 Gregorys Charter Ct, Richmond, VA 23236-1062 | 2006-11-21 |
| 1801814678 | Scott Alan Wright | Emergency Medicine | 961 E Stuart Dr, Galax, VA 24333-2407 | 2006-07-18 |
| 1124055777 | James L Brewer IIi | Emergency Medicine | One Arh Ln, Low Moor, VA 24457 | 2006-06-27 |
| 1073593885 | Yusuf Hameed Khan | Emergency Medicine | 11484 Washington Paza W, Suite #300, Reston, VA 20190 | 2006-01-18 |
| 1174143580 | Calvin Nguyen | Emergency Medicine | 12099 Government Center Pkwy, Fairfax, VA 22035-5501 | 2020-04-26 |
| 1912545195 | Eleanor Leigh Jordan | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.