Agnes Idahosa Asamah (NPI# 1336618511, PAC ID# 3971840646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336618511 |
| PAC ID by PECOS | 3971840646 |
| Professional Enrollment ID | I20191002003062 |
| Full Name | Agnes Idahosa Asamah |
| Organization Legal Name | IMPACT PHYSICIAN GROUP INDIANA LLC |
| Address |
3017 Valley Farms Rd Indianapolis IN 46214-1513 |
| Phone Number | 6789675599 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6608111026 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151300 | COMMUNITY HOSPITAL OF BREMEN INC |
| Address | Phone | Organization |
|---|---|---|
| 3017 Valley Farms Rd, Indianapolis, IN 46214-1513 | 6789675599 | IMPACT PHYSICIAN GROUP INDIANA LLC |
| 1955 Vernon St, Wabash, IN 46992-4026 | 6789675599 | IMPACT PHYSICIAN GROUP INDIANA LLC |
| Organization Legal Name | IMPACT PHYSICIAN GROUP INDIANA LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yulia Yurevna Abair | Nurse Practitioner | Impact Physician Group Indiana LLC | 1121 E Lasalle Ave, South Bend, IN 46617-3321 |
| Mazhar Khan | Family Medicine | Impact Physician Group Indiana LLC | 1700 W 10th St, Indianapolis, IN 46222-3802 |
| Syed W Moazzem | Rheumatology | Impact Physician Group Indiana LLC | 281 S County Rd 200, Connersville, IN 47331-8220 |
| Zubair Khan | Internal Medicine | Impact Physician Group Indiana LLC | 1700 W 10th St, Indianapolis, IN 46222-3802 |
| Audette Johnson | Nurse Practitioner | Impact Physician Group Indiana LLC | 1700 W 10th St, Indianapolis, IN 46222-3802 |
| Lisa Sue Jones | Nurse Practitioner | Impact Physician Group Indiana LLC | 1700 W 10th St, Indianapolis, IN 46222-3802 |
| Yonna Allen | Nurse Practitioner | Impact Physician Group Indiana LLC | 3017 Valley Farms Rd, Indianapolis, IN 46214-1513 |
| Sinikweyinkosi Mabandla | Nurse Practitioner | Impact Physician Group Indiana LLC | 4141 Shore Dr, Indianapolis, IN 46254-2607 |
| Street Address |
3017 VALLEY FARMS RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46214-1513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yonna Allen | Nurse Practitioner | Impact Physician Group Indiana LLC | 3017 Valley Farms Rd, Indianapolis, IN 46214-1513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Rich | Optometry | City Optical Co Inc | 7321 W 10th St, Vision Values By Dr Tavel, Indianapolis, IN 46214-2515 |
| Andrew W Jones | Optometry | City Optical Co Inc | 7321 W 10th St, Vision Values By Dr Tavel, Indianapolis, IN 46214-2515 |
| Jacqueline B Garrison | Optometry | City Optical Co Inc | 7321 W 10th St, Vision Values By Dr Tavel, Indianapolis, IN 46214-2515 |
| Shaukat A Khan | Emergency Medicine | 7457 W 10th St, Indianapolis, IN 46214-2517 | |
| Scott K Hasty | Chiropractic | 7333 Rockville Rd, Indianapolis, IN 46214-3069 | |
| Meghan K. Fricke | Physician Assistant | Nora Urgent Care LLC | 650 N Girls School Rd, F40 In Immediate Care, Indianapolis, IN 46214-3672 |
| Carissa E Harper | Physician Assistant | Nora Urgent Care LLC | 650 N Girls School Rd, F40 In Immediate Care, Indianapolis, IN 46214-3672 |
| Kristy Reynolds | Nurse Practitioner | Nora Urgent Care LLC | 650 N Girls School Rd, F40 In Immediate Care, Indianapolis, IN 46214-3672 |
| Daria B Kaval | Family Medicine | Nora Urgent Care LLC | 650 N Girls School Rd, F40 In Immediate Care, Indianapolis, IN 46214-3672 |
| Roland W James | Family Medicine | Nora Urgent Care LLC | 650 N Girls School Rd, F40 In Immediate Care, Indianapolis, IN 46214-3672 |
| Find all physicians in zip 46214 | |||
| City | INDIANAPOLIS |
| Zip Code | 46214 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Agnes Idahosa Asamah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.