Individual provider Active NPI

Michael Gyampoh

  • Vascular Sonography Radiologic Technologist
  • Forest Hill, MD
National Provider Identifier
1558076174
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
100618 Issued in MD
Practice address
1713 Grafton Ridge CT
Forest Hill, MD 21050-2503
Phone
(443) 528-5467
NPI assigned
Jan 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471V0105X 100618 MD Primary

Addresses

Primary practice location

1713 Grafton Ridge CT
Forest Hill, MD 21050-2503

Mailing address

1713 Grafton Ridge CT
Forest Hill, MD 21050-2503

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address services@vaschealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100618MDMDVascular Sonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1558076174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 GRAFTON RIDGE CT",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 GRAFTON RIDGE CT",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502503",
            "telephone_number": "443-528-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAMPOH",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "100618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "services@vaschealth.com",
            "affiliation": "N",
            "address_1": "1713 Grafton Ridge Ct",
            "city": "Forest Hill",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210502503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.