Organization Active NPI

Lydia Appiah Dwamena, MD PA

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1154549236
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L7963 Issued in TX
Legal business name
LYDIA APPIAH DWAMENA, MD PA
Doing business as
Palo Alto Women's Health Center
Practice address
102 Palo Alto Road
Suite 230
San Antonio, TX 78211-3795
Phone
(210) 922-3331
Fax
(210) 922-3339
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Dr. Lydia Appiah-Dwamena, MDNPI 1255307120
Title
Provider/Owner
Phone
(210) 922-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L7963 TX Primary

Addresses

Primary practice location

102 Palo Alto Road
Suite 230
San Antonio, TX 78211-3795

Mailing address

102 Palo Alto Road
Suite 230
San Antonio, TX 78211-3795
Phone (210) 922-3331

Other identifiers 2

IdentifierTypeStateIssuer
287645001MedicaidTX
165448503MedicaidTX

Other names 1

  • Palo Alto Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080826000839 TX Part B Supplier - Clinic/Group Practice 1052486032 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1068350Lydia Appiah Dwamena MD PA102 Palo Alto Road Suite 230, San Antonio, TX 78211Provider-performed microscopyMay 8, 2027

National Provider Directory

National Provider Directory

Locations

102 Palo Alto Rd
Ste 230
San Antonio, TX 78211
Phone (210) 922-3331

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19928/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1154549236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO ROAD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113795",
            "telephone_number": "210-922-3331",
            "fax_number": "210-922-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO ROAD",
            "address_2": "SUITE 230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113795",
            "telephone_number": "210-922-3331",
            "fax_number": "210-922-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA APPIAH DWAMENA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "APPIAH-DWAMENA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "210-922-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L7963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287645001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165448503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palo Alto Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.