Kwaku Boafo Manu

Primary specialty

ContractorTaxonomy code 171W00000X

License

4947120001 Issued in MO

Practice address

11863 Benham Rd
Saint Louis, MO 63138-1308

Phone

(413) 438-0033

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Oxford Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
  • NPI 1780877852
  Authorized official Same address or phone

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255534574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11863 BENHAM RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381308",
            "telephone_number": "413-438-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11863 BENHAM RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381308",
            "telephone_number": "413-438-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANU",
        "first_name": "KWAKU",
        "middle_name": "BOAFO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MO",
            "license": "4947120001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila A Mansfield, MA, LPC
• Shaheen Mansoor, M.D.
• George Mansour, MD
• Vito A Mantese, M.D.
• John F Mantovani, M.D.
• Kate Manuel, CRNA
• Timothy Manuel, M.D.
• Laura K Manula, LCSW
• Margery Ann Manuli, MD
• Linda Piersall Manwaring, CGC

• Contractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Contractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.