Isaac Okyere Ampofo (NPI# 1538640420, PAC ID# 9436403953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538640420 |
| PAC ID by PECOS | 9436403953 |
| Professional Enrollment ID | I20181119001801 |
| Full Name | Isaac Okyere Ampofo |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Address |
629 Middle Tpke E Manchester CT 06040-3731 |
| Phone Number | 8606496900 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416244496 |
| Number of Group Practice Members | 261 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 | 8606497557 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| 629 Middle Tpke E, Manchester, CT 06040-3731 | 8606496900 | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Organization Legal Name | PROSPECT CT MEDICAL FOUNDATION, INC. |
| Physicians | 222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eyone Jones | General Surgery | Prospect Ct Medical Foundation, Inc. | 18 Haynes St, Uppr Level, Manchester, CT 06040-4111 |
| Kelli A Harper | Family Medicine | Prospect Ct Medical Foundation, Inc. | 175 W Rd, Ellington, CT 06029-3730 |
| Marcy A Calsetta | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 520 Hartford Tpke, Suite M, Vernon, CT 06066-5044 |
| Michele P Barry | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 145 Union St, Vernon Rockville, CT 06066-3025 |
| Khadijat O Balogun | Gastroenterology | Prospect Ct Medical Foundation, Inc. | 353 Main St, Manchester, CT 06040-4145 |
| Juan Diego Holguin | General Surgery | Prospect Ct Medical Foundation, Inc. | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 |
| Michael D Waddington | Neurology | Prospect Ct Medical Foundation, Inc. | 29 Haynes St, Suite D, Manchester, CT 06040-4139 |
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Charles A Mandelberg | Family Medicine | Prospect Ct Medical Foundation, Inc. | 28 Main St, East Hartford, CT 06118-3243 |
| Remi Mathews | Family Medicine | Prospect Ct Medical Foundation, Inc. | 130 Hartford Rd, Manchester, CT 06040-5921 |
| Street Address |
629 MIDDLE TPKE E |
| City | MANCHESTER |
| State | CT |
| Zip | 06040-3731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Elizabeth Wood | Physician Assistant | Family Medicine Center,llc | 574 Middle E Tpke, Manchester, CT 06040-3730 |
| Christine M Knight | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Jordan Taylor Honahan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Krista A Catalan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Zachary David Crickmore | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Eric Stearns | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kelsey Magrisso | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kristen Lindsay | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Matthew Reynolds | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Serge Peter Poulin | Family Practice | 629 Middle E Tpke, Manchester, CT 06040-3731 | |
| Find all physicians in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MANCHESTER + NURSE PRACTITIONER |
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| 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.