Dama Reter Yekeson-Koffa, RN, SRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R181175 Issued in MD

Practice address

4940 Eastern Ave
Anesthesia Department Bayview Medical Center
Baltimore, MD 21224-2735

Phone

(443) 694-8960

Fax

(410) 356-5821

NPI assigned

Jan 30, 2014

Last updated

Jan 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Interoperability endpoints

• Direct secure messaging: dyekesonkoffa485135@direct.umm.edu

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1013330851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "ANESTHESIA DEPARTMENT BAYVIEW MEDICAL CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "ANESTHESIA DEPARTMENT BAYVIEW MEDICAL CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "443-694-8960",
            "fax_number": "410-356-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKESON-KOFFA",
        "first_name": "DAMA",
        "middle_name": "RETER",
        "name_prefix": "Mrs.",
        "credential": "RN, SRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R181175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederic K Yeganeh, MD
• Omid Yeganeh, M.D.
• Nancy Yeh, M.D.
• Yi-Chieh Yeh
• Bethlehem Yehudah
• Karina M Yelin, M.D.
• Janet Yellowitz, DMD, MPH
• Felix Yelovich, PA-C
• Matthew Yen, MD
• Michael Chih-Mai Yen, MD FACP

• Certified Registered Nurse Anesthetist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.