Edward Boakye M.D.,P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDWARD BOAKYE M.D.,P.C

Practice address

3333 S Crater Rd
Suite 3 C
Petersburg, VA 23805-9276

Phone

(804) 957-6900

NPI assigned

Feb 11, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Boakye, MD

Title

President

Phone

(804) 957-6900

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1518135763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "address_2": "SUITE 3 C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "address_2": "SUITE 3 C",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276",
            "telephone_number": "804-957-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BOAKYE M.D.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BOAKYE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-957-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "214245",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "186025",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7672082",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005855314",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janell Durant
• Gail Lavene Dussere, RN
• Brianna Easton
• Eckerd Corporation (Rite Aid Pharmacy 11300)
• Edgewood Group Family Services
• Edward P. Nikicicz, M.D., P.C.
• Charlotte Chovan Eisaman, REGISTERED NURSE
• Crystal Eldridge
• Elevated Living Services LLC
• George Arthur Ellis, RPH

• Internal Medicine Physician in Petersburg, VA
• Providers in Petersburg, 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 Jun 24, 2008; 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.