Kwabena Amponsah PA-C, PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104033 Issued in FL

Legal business name

KWABENA AMPONSAH PA-C, PLLC

Practice address

10524 Moss Park Rd Ste 204-771
Orlando, FL 32832-5898

Phone

(937) 902-2068

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kwabena Amponsah, PA-C

Title

President/Ceo

Phone

(937) 902-2068

Specialties & licenses 2

Addresses

Other names 1

• MKA Surgical Group Doing business as

Locations

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1184916801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD STE 204-771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325898",
            "telephone_number": "937-902-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 MOSS PARK RD STE 204-771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325898",
            "telephone_number": "937-902-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWABENA AMPONSAH PA-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-902-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME99974",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MKA Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MKA Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Kutanjac
• Lilian Mokeira Kuzenski
• Tiffany Kuzma, LMHC
• Amirah Kuzu, MD
• Andre M Kwa, MD
• Jonathan Jung-Hoon Kwak, RPH
• Michael Kwak, MD
• Wing-Yin Kwan, M.D.
• Jennifer Kwarciany
• Sanjay Kwatra, MD

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.