Mark Amoako Addai
Individual provider Active NPI Registered Nurse · Westerville, OH
NPI 1558040055 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1558040055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- UF742607 (OH)
- Practice address
- 6270 Callisburg Dr
Westerville, OH 43081-0037 - Phone
- (646) 552-1432
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UF742607 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | UF742607 | OH | Yes |
Addresses
Primary practice location
6270 Callisburg Dr
Westerville, OH 43081-0037
Mailing address
6270 Callisburg Dr
Westerville, OH 43081-0037
Phone (646) 552-1432
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.