MR. KYERETWIE FRIMPONG BOSOMTWE (NPI# 1629369301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629369301 |
Entity Type | Individual |
Full Name | MR. KYERETWIE FRIMPONG BOSOMTWE |
Credential | CRNP |
Practice Address |
4000 Mitchellville Rd Suite 422 Bowie MD 20716-3104 |
Mailing Address |
6901 Pamela Ln Clinton MD 20735-3332 |
Practice Telephone | 3018096206 |
Practice Fax Number | 3018096225 |
Mailing Telephone | 2406027897 |
Enumeration Date | 2011-04-28 |
Last Update Date | 2011-04-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R167843 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4000 MITCHELLVILLE RD SUITE 422 |
City | BOWIE |
State | MD |
Zip Code | 20716-3104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962408955 | Lynne Ann Jacobs | Nurse Practitioner | 4000 Mitchellville Rd, A-414, Bowie, MD 20716-3104 | 2005-06-23 |
1073059515 | Lifestream Health Center | Clinical Medical Laboratory | 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716-3104 | 2017-01-09 |
1730531278 | Jessica Lynn Rizzo | Physical Therapist | 4000 Mitchellville Rd, Suite A404, Bowie, MD 20716 | 2016-07-08 |
1538535992 | Lifestyle Hearing Professionals, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2015-08-19 |
1841674777 | Lifestream Health Center | Non-Pharmacy Dispensing Site | 4000 Mitchellville Rd, B322, Bowie, MD 20716-3104 | 2015-07-09 |
1720468663 | Capital Orthopaedic Specialists LLC | Physical Therapist | 4000 Mitchellville Rd, Suite B116, Bowie, MD 20716-3104 | 2015-06-05 |
1366820284 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd, Suite B 116, Bowie, MD 20716-3104 | 2015-05-12 |
1497154223 | Made To Move LLC | Clinic/Center | 4000 Mitchellville Rd, Suite 404a, Bowie, MD 20716-3104 | 2014-08-18 |
1841606258 | Doctors of Audiology, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2014-07-07 |
1881007995 | Digestive and Biliary Disease Consultants LLC | Hospitalist | 4000 Mitchellville Rd, Ste B 430, Bowie, MD 20716-3104 | 2014-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
Find all providers in zip 20716 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609405406 | Benjamin Nwosu | Nurse Practitioner | 15004 Jorrick Ct, Bowie, MD 20721-7294 | 2020-04-03 |
1962050203 | Suzette Hayes | Nurse Practitioner | 15210 Annapolis Rd, Bowie, MD 20715-1804 | 2019-08-29 |
1922309756 | Chika Nwolisa | Nurse Practitioner | 13012 Silver Maple Ct, Bowie, MD 20715-1932 | 2010-11-10 |
1396066866 | James Francis Maher | Nurse Practitioner | Bowie Town Medical Services 3060 Mitchellville Road, Suite 103, Bowie, MD 20716-3963 | 2010-06-18 |
1114047503 | Michelle Marie Francois Daniels | Nurse Practitioner | 3301 Shortridge Ln, Bowie, MD 20721-2576 | 2007-03-30 |
1720088560 | Rosemary Higgins Ayerle | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2005-07-22 |
1831595768 | Jo Alderman Greenberg | Nurse Practitioner | 14999 Health Center Dr, Suite 201, Bowie, MD 20716-1074 | 2014-11-04 |
1760635411 | Jackelin Esther Curry | Nurse Practitioner | 16900 Science Dr, Suite 100, Bowie, MD 20715-4401 | 2008-10-28 |
1134333941 | Li-lin Chiu | Nurse Practitioner | 14000 Jericho Park Rd, Bowie State University Henry Wise Wellness Center, Bowie, MD 20715-3319 | 2007-05-10 |
1356492466 | Dolores L. Coleman | Nurse Practitioner | 4201 Mitchellville Rd, Suite 102, Bowie, MD 20716-3163 | 2007-01-15 |
Find all providers in BOWIE |
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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.