Kordor Yeboah, C.R.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP005319B Issued in PA

Practice address

838 Penn Street
Reading, PA 19602

Phone

(610) 988-4838

Fax

(610) 288-4515

NPI assigned

Oct 4, 2006

Last updated

Oct 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Tower Health Medical Group

  dba Internal Medicine - Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Tower Health Medical Group

  dba Gynecologic Oncology - Tower Health Medical Group

  • Gynecologic Oncology Physician
  • West Reading, PA
  • NPI 1336230242
  NPD
• Tower Health Medical Group

  dba Breast Health Center Wyomissing Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1306932827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PENN STREET",
            "city": "READING",
            "state": "PA",
            "postal_code": "19602",
            "telephone_number": "610-988-4838",
            "fax_number": "610-288-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN STREET",
            "city": "READING",
            "state": "PA",
            "postal_code": "19602",
            "telephone_number": "610-988-4838",
            "fax_number": "610-288-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "KORDOR",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP005319B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102221003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hubert Jaw Ning Wu, D.O.
• Dana Wurtz
• Wym Op Holdings LLC
• Wyomissing Area School District
• Wyomissing Oral Surgical Assocs, LTD
• Christopher George Yeshulas, MSAT LAT ATC
• Jessica Yetto, LPC
• Melanie Yinh, PHARM D.
• YMCA of Reading and Berks County
• Thomas Corey Yochimowitz, MED

• Nurse Practitioner in Reading, PA
• Providers in Reading, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.