Collins Boampong (NPI# 1225449622, PAC ID# 3072802289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225449622 |
| PAC ID by PECOS | 3072802289 |
| Professional Enrollment ID | I20160511001342 |
| Full Name | Collins Boampong |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
17095 Main St Hesperia CA 92345-6004 |
| Phone Number | 7602416666 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17095 Main St, Hesperia, CA 92345-6004 | 7602416666 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
17095 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip | 92345-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lourdes P Mejia | Nurse Practitioner | St Joseph Heritage Healthcare | 17095 Main St, Hesperia, CA 92345-6004 |
| Rita M Miranda | Internal Medicine | St Joseph Heritage Healthcare | 17095 Main St, Hesperia, CA 92345-6004 |
| Martha Garcia | Physician Assistant | St Joseph Heritage Healthcare | 17095 Main St, Hesperia, CA 92345-6004 |
| Mino Thu Pham | Family Medicine | St Joseph Heritage Healthcare | 17095 Main St, Hesperia, CA 92345-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Reid | Chiropractic | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 | |
| Eric J Storm | Chiropractic | Eric J Storm and Brenda J Reid | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 |
| Rosina B Frize | Physician Assistant | Dr.mikel Walk In Clinic Inc | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 |
| David Shin | Optometry | 15923 Bear Valley Rd, B100, Hesperia, CA 92345-1762 | |
| Joe Louis Juarez Jr. | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Irma Ann Juarez-drew | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Khin M Naing | Internal Medicine | Desert Family Practice Associates | 11919 Hesperia Rd A, Hesperia, CA 92345-2158 |
| Gurpal Phaguda | Family Medicine | 15462 Main St, Hesperia, CA 92345-3318 | |
| Eric R Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | |
| Michael A Parrish | Physical Therapy | 15235 Main St, Hesperia, CA 92345-3326 | |
| Find all physicians in zip 92345 | |||
| City | HESPERIA |
| Zip Code | 92345 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HESPERIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Collins Boampong.
| 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.