Kwasi Opuni Boakye, M.D., P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

4301071567 Issued in MI

Legal business name

KWASI OPUNI BOAKYE, M.D., P.C.

Practice address

30 S Howell St
Hillsdale, MI 49242-1820

Phone

(517) 437-7800

Fax

(517) 437-7825

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kwasi Opuni Boakye, M.D.

Title

Owner

Phone

(517) 437-7800

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407025067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421820",
            "telephone_number": "517-437-7800",
            "fax_number": "517-437-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421820",
            "telephone_number": "517-437-7800",
            "fax_number": "517-437-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWASI OPUNI BOAKYE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "KWASI",
        "authorized_official_middle_name": "OPUNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-437-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301071567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "01398",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSJHP",
            "identifier": "1017386",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900044182",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103452147",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110038200001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE #",
            "identifier": "KB071567",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000003904",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "10321",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLHP",
            "identifier": "106651",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1103000361",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.