Individual provider Active NPI

Pinaman Awurabena Gyimah - Affram, PA

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1386059947
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3078 Issued in CT
Practice address
390 Main St
Worcester, MA 01608-2583
Phone
(508) 753-4151
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3078 CT Primary

Addresses

Primary practice location

390 Main St
Worcester, MA 01608-2583

Mailing address

7114 Arbor Dr
Shrewsbury, MA 01545-6034
Phone (508) 736-0527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150211000814 MA Practitioner - Physician Assistant 2961727193 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

165 Mill St
Leominster, MA 01453-3289
Phone (978) 878-8100

175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3078CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Connections, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Vernon Integrative Medical Group LLC CurrentSince Nov 15, 2015 Accepting new patients
Ipc Hospitalists of New England PC Physician Assistant CurrentSince Oct 22, 2014 Accepting new patients
Community Health Connections, Inc. Past Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

67 Union St
Natick, MA 01760
Phone (508) 383-1104

111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858

141 Massasoit Rd
Worcester, MA 01604
Phone (508) 754-9950

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1386059947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 ARBOR DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015456034",
            "telephone_number": "508-736-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082583",
            "telephone_number": "508-753-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYIMAH - AFFRAM",
        "first_name": "PINAMAN",
        "middle_name": "AWURABENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.