Edward Kwodwo Boakye, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101057406 Issued in VA

Practice address

12407 Inverness Way
Chester, VA 23836-8629

Phone

(703) 768-9660

NPI assigned

Nov 3, 2005

Last updated

May 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hankook Medical Center Inc

  • Internal Medicine Physician
  • Annandale, VA
  • NPI 1265636229
  NPD (past)
• Hankook Rehab & Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Alexandria, VA
  • NPI 1659554541
  NPD (past)
• International Medical Center, Inc

  • General Practice Physician
  • Springfield, VA
  • NPI 1265685515
  NPD (past)
• Petersburg Home Care Services LLC

  dba Southside Regional Home Health

  • Home Health Agency
  • Petersburg, VA
  • NPI 1386623700
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1477544914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12407 INVERNESS WAY",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238368629",
            "telephone_number": "703-768-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "EDWARD",
        "middle_name": "KWODWO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Geriatrics LLC
• Blooming Care Service
• Blossom Health Services LLC
• Blossom Heart Behavioral Health Services LLC
• Michon Blowe, PMHNP-BC
• Jamielynn M Bodman, OTR/L
• Anastasia Dimitria Bogachov
• Bon Secours St Francis Medical Center LLC (Neruology Clinic - Bon Secours Medical Group)
• Bon Secours St Francis Medical Center LLC (Imaging at Chester)
• Bon Secours St. Francis Medical Center Inc (Bon Secours Neurology Clinic)

• Internal Medicine Physician in Chester, VA
• Providers in Chester, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.