Individual provider Active NPI

Rosemarie Agyepong Andoh-Baidoo, PA

  • Physician Assistant
  • Weslaco, TX
National Provider Identifier
1457751620
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09105 Issued in TX
Practice address
1330 E 6TH St
Weslaco, TX 78596-4204
Phone
(956) 968-8567
NPI assigned
Aug 25, 2014
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 PA09105 TX Primary

Addresses

Primary practice location

1330 E 6TH St
Weslaco, TX 78596-4204

Mailing address

1330 E 6TH St
Weslaco, TX 78596-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151231001022 TX Practitioner - Physician Assistant 9032411467 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09105TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley Past Accepting new patients
Adolfo Kaplan, M.D., PA Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1457751620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964204",
            "telephone_number": "956-968-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOH-BAIDOO",
        "first_name": "ROSEMARIE",
        "middle_name": "AGYEPONG",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.