SAMUEL BOATENG (NPI# 1790162527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790162527 |
| Entity Type | Individual |
| Full Name | SAMUEL BOATENG |
| Credential | CRNP |
| Practice Address |
999 Dalton Ave Pittsfield MA 01201-2903 |
| Mailing Address |
515 Fairmount Ave Towson MD 21286-5466 |
| Practice Telephone | 4134486231 |
| Mailing Telephone | 3017582350 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F0415163 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2316205 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1790162527 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 515 Fairmount Ave, Towson, MD 212865466 | 3017582350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740824 | Samuel Agyenim Boateng | Nurse Practitioner | Holy Hills Healthcare Services, LLC, 6760 Tussing Road Suite 104, Reynoldsburg, OH 43068-4136 | 2020-01-30 |
| 1154984169 | Samuel Boateng | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 200, Bryn Mawr, PA 19010-3129 | 2019-04-16 |
| Street Address |
999 DALTON AVE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932612280 | Kathryn Sondrini | Nurse Practitioner | 777 North St Fl 4, Pittsfield, MA 01201-4147 | 2017-11-08 |
| 1497065791 | Holly M Hunter | Nurse Practitioner | 163 South St Ste 2, Pittsfield, MA 01201-6875 | 2010-10-20 |
| 1902976384 | Kathleen Anne O Callahan | Nurse Practitioner | 140 Chandler St, Pittsfield, ME 04967-3711 | 2006-11-09 |
| 1083620314 | Emily B Cianchette | Nurse Practitioner | 470 Somerset Ave, Pittsfield, ME 04967-4928 | 2006-07-31 |
| 1134186992 | Laurie M Bank | Nurse Practitioner | 165 Tor Court, Hillcrest Family Health, Pittsfield, MA 01201 | 2006-04-27 |
| 1043277809 | Robin L Love | Nurse Practitioner | 777 North St Ste 207, Pittsfield, MA 01201-4123 | 2006-04-27 |
| 1962016345 | Alison Mary Smith Wynter | Nurse Practitioner | 73 Eagle St, Pittsfield, MA 01201-4714 | 2020-09-03 |
| 1457969677 | Danielle Lapierre | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2020-07-14 |
| 1912546326 | Chris Wassell | Nurse Practitioner | 640 W Washington St, Pittsfield, IL 62363-1350 | 2020-01-02 |
| 1659919884 | Angela Avanzato | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2019-12-18 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on SAMUEL BOATENG.
| 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.