Etienne T. Ngoumgna

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

C0002500 Issued in MD

Legal business name

ETIENNE T. NGOUMGNA

Doing business as

Etienne T. Ngoumgna

Practice address

900 S Caton Ave
Baltimore, MD 21229-5201

Phone

(410) 368-3000

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Etienne T Ngoumgna, PAC MSC MHS

Title

Physician Assistant

Phone

(410) 368-3000

Specialties & licenses 1

Addresses

Other names 1

• Etienne T. Ngoumgna Doing business as

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216425600000",
    "number": "1083745202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CASPIAN CT",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403612",
            "telephone_number": "410-676-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETIENNE T. NGOUMGNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-19",
        "status": "A",
        "authorized_official_last_name": "NGOUMGNA",
        "authorized_official_first_name": "ETIENNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "410-368-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC MSC MHS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "C0002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etienne T. Ngoumgna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Jackson Etheridge IV, CCA, CFO, CFM, CPED
• Carrie H Etheridge, LCSW-C
• Nicholas A Etheridge, LCPC, NCC
• Ethical Care Group LLC
• Mary-Ann Adiaha-Obong Etiebet, MD
• Kedar Shynick Etienne
• Rochelle Thilly Etienne, PA-C
• Ashley Ettah
• Kelly Ettari
• Olanrewaju W Etti

• General Acute Care Hospital in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Acute Care Hospital in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; 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.