Aboagye Agyenim - Boateng, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2006-01193 Issued in NC

Practice address

1228 Harden St
Columbia, SC 29204-1800

Phone

(803) 744-0550

Fax

(803) 744-0532

NPI assigned

Jul 9, 2006

Last updated

Apr 29, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

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

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430

  Obstetrics & Gynecology

  Medicare reassignment NPD
• McLeod Health Clarendon

  • Certified Registered Nurse Anesthetist
  • Manning, SC
  • NPI 1508218793
  Medicare reassignment NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba TRMC Hospitalist

  • Hospitalist Physician
  • Orangeburg, SC
  • NPI 1003889676
  Medicare reassignment NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba Orangeburg Surgical Associates

  • Surgery Physician
  • Orangeburg, SC
  • NPI 1164496527
  Medicare reassignment NPD
• Eau Claire Cooperative Health Center ,Inc.

  dba Cooperative Health @ CAMH

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD
• Eau Claire Cooperative Health Center, Inc.

  dba Cooperative Health Newberry

  • Federally Qualified Health Center (FQHC)
  • Newberry, SC
  • NPI 1891007233
  NPD
• McLeod Health Clarendon

  dba McLeod Family Medicine-Timmonsville

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD
• McLeod Health Clarendon

  dba McLeod Women's Care Clarendon

  • Obstetrics & Gynecology Physician
  • Manning, SC
  • NPI 1497103618
  NPD
• Regional Medical Center of Orangeburg and Calhoun Counties

  dba RMC Neurology Clinic

  • Neurology Physician
  • Orangeburg, SC
  • NPI 1144940347
  NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba RMC Internal Medicine and Gastroenterology

  • Gastroenterology Physician
  • Orangeburg, SC
  • NPI 1144528670
  NPD

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1194758243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0550",
            "fax_number": "803-744-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HARDEN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041800",
            "telephone_number": "803-744-0550",
            "fax_number": "803-744-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYENIM - BOATENG",
        "first_name": "ABOAGYE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2006-01193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905567",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladiesa Agbaso
• Tatiana Agueda
• Candace Anne Aguiar, CRNA
• Jenna-Mara Aguilar, RN
• Francisco Aguirre, III III, MD
• Ahava Care Management, LLC
• Ahava Hospice of Columbia, LLC
• Ahava Hospice, Inc.
• Ahava in-Home Care, LLC
• Ahc Moncrief-Jackson (Jackson TMC Phcy)

• Obstetrics & Gynecology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.