EMMANUEL OSEI-BOAMAH (NPI# 1639282460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639282460 |
| Entity Type | Individual |
| Full Name | EMMANUEL OSEI-BOAMAH |
| Credential | M.D. |
| Practice Address |
3900 Loch Raven Blvd Baltimore MD 21218 |
| Mailing Address |
3900 Loch Raven Blvd Baltimore MD 21218-2108 |
| Practice Telephone | 4106057620 |
| Practice Fax Number | 4106057676 |
| Mailing Telephone | 3105728340 |
| Mailing Fax Number | 3015728403 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 068086 | GA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | D0062929 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS/BLUE SHIELD | 936197-04 & 05 | 01 |
| MD | 014915200 | 05 | |
| MD | BLUE CROSS/BLUE SHIELD - REGIONAL | S062-0382 | 01 |
| Street Address |
3900 LOCH RAVEN BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192780 | Sheena Strudwick | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2005-05-24 |
| 1952908022 | Samantha Yeager | Occupational Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-10-02 |
| 1518574623 | Tehilla Sklare | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-09-23 |
| 1457961369 | Katrina Rogers | Dietitian, Registered | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2020-08-05 |
| 1285289553 | Marian Laniyan | Nurse Practitioner | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2019-08-05 |
| 1467944157 | Autumn Harper Cohen | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-05-30 |
| 1184128639 | Saiah Yates | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2018-03-20 |
| 1205290608 | Courtney Allen | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-04-12 |
| 1609232263 | Keyana A Robinson | Social Worker | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2016-01-12 |
| 1538535786 | April Vesely | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2015-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272296 | Federal Hill Pediatric Center | Internal Medicine | 724 Light St Ste A, Baltimore, MD 21230-3813 | 2019-09-02 |
| 1861051096 | Intermed Associates Ipa, LLC | Internal Medicine | 9106 Philadelphia Rd Ste 214, Baltimore, MD 21237-4333 | 2019-06-11 |
| 1720540925 | Johns Hopkins Community Physicians | Internal Medicine | 5210 Eastern Ave Ste 127, Baltimore, MD 21224-2719 | 2019-04-05 |
| 1013488188 | Atlantic Medical Associates, LLC | Internal Medicine | 6717 Park Heights Ave Lowr Level, Baltimore, MD 21215-2443 | 2018-12-16 |
| 1700386109 | Burke Medical, P.C. | Internal Medicine | 8 Market Pl Ste 300, Baltimore, MD 21202-4113 | 2018-02-13 |
| 1538695598 | Hisham Ahmed Farhan | Internal Medicine | 827 Linden Ave # B-2043, Baltimore, MD 21201-4606 | 2017-05-11 |
| 1538692652 | Thi Khuc | Internal Medicine | 22 S Greene St # N3w156, Baltimore, MD 21201-1544 | 2017-04-05 |
| 1053868646 | Apurva Sharma | Internal Medicine | 600 N Wolfe St Blalock 545, Baltimore, MD 21287-1766 | 2016-09-01 |
| 1053761031 | Seyed Mohammad Hodanazari | Internal Medicine | 727 W 40th St # A215, Baltimore, MD 21211-2105 | 2016-06-21 |
| 1568824522 | Alaina Christine Chodoff | Internal Medicine | 2024 E Monument St Fl 2, Baltimore, MD 21287-0028 | 2016-03-28 |
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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.