Active NPI
Alex Amoako, PA
- Physician Assistant
- Opa Locka, FL
National Provider Identifier
1265637078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102771
- Practice address
- 3804 NW 167TH St
Opa Locka, FL 33054-6232 - Phone
- (305) 624-2700
- Fax
- (305) 624-3154
- NPI assigned
- Jun 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102771 | FL | Primary |
Addresses
Primary practice location
3804 NW 167TH St
Opa Locka, FL 33054-6232
Mailing address
1820 W 46TH St
#715
Hialeah, FL 33012-2836
Phone (305) 733-2286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jir Financial Group Inc | Past | Accepting new patients | |
| Janna Health Care Group LLC | Past | Accepting new patients | |
| Integrated-1 Corp | Past | Accepting new patients |
Organizations & group practices 3
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.
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dba Dornoch Place Del Prado
- Assisted Living Facility
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- NPI 1841543550
-
dba Imed Urgent Care
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1801075791
-
dba Imed Urgent Care Center
- Urgent Care Clinic/Center
- Miami, FL
- NPI 1235239534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265637078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 W 46TH ST",
"address_2": "#715",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330122836",
"telephone_number": "305-733-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3804 NW 167TH ST",
"city": "OPA LOCKA",
"state": "FL",
"postal_code": "330546232",
"telephone_number": "305-624-2700",
"fax_number": "305-624-3154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMOAKO",
"first_name": "ALEX",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opa Locka, FL
Sources for this page
- 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.