Organization Active NPI

Edward Amoah MD PA

  • Specialist
  • Wesley Chapel, FL
National Provider Identifier
1396929188
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME88213 Issued in FL
Legal business name
EDWARD AMOAH MD PA
Practice address
27455 Cashford Cir
Wesley Chapel, FL 33544-6901
Phone
(813) 948-5810
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Edward Amoah, MDNPI 1336101450
Title
Physician
Phone
(813) 948-5180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME88213 FL Primary

Addresses

Primary practice location

27455 Cashford Cir
Wesley Chapel, FL 33544-6901

Mailing address

PO Box 47023
Tampa, FL 33646-0109
Phone (813) 983-0700

Other identifiers 1

IdentifierTypeStateIssuer
268830100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051019000971 FL Part B Supplier - Clinic/Group Practice 1355367392 Receives reassigned benefits from 1 practitioner
Practice locations: Wesley Chapel, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1065978Edward Amoah MD27455 Cashford Circle, Wesley Chapel, FL 33544Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

5208 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 983-0700

27455 Cashford Cir
Wesley Chapel, FL 33544
Phone (813) 906-6554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1396929188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47023",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460109",
            "telephone_number": "813-983-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446901",
            "telephone_number": "813-948-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD AMOAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "AMOAH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-948-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME88213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268830100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.