Kwadwo Manu Otchere

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F1116618 Issued in OH

Practice address

5150 East Main St
Suit 105
Whitehall, OH 43213-2441

Phone

(614) 359-2301

NPI assigned

Jan 25, 2017

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kwadwootchere@hofhc.allscriptsdirect.net
• Direct secure messaging: kotchere799591@direct.osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heart of Ohio Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1275714289
  Medicare reassignment

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1073050316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5296 PONDEROSA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314033",
            "telephone_number": "614-747-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 EAST MAIN ST",
            "address_2": "SUIT 105",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-359-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTCHERE",
        "first_name": "KWADWO",
        "middle_name": "MANU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "F1116618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ortman
• Os Medical Transportation Service LLC
• Emmanuel Osafo
• Jemmiessah Osei
• Dominique Oswalt
• Char'Lese Outlaw
• Shannon Marie Owen
• Ozioma LLC
• Heather Pack, R.N.
• Walter Louis Palmer III

• Primary Care Nurse Practitioner in Whitehall, OH
• Providers in Whitehall, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.