Susan Otang Ayukokata

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023277 Issued in GA

Practice address

500 Brookhaven Ave NE
Atlanta, GA 30319-3291

Phone

(404) 460-1924

Fax

(404) 460-1921

NPI assigned

Oct 6, 2011

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Otang Enow Ashu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Eso Healthcare Services LLC

  • Home Health Agency
  • Fayetteville, GA
  • NPI 1669312559
  NPD Authorized official

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1588948798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WHALEYS LAKE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384872",
            "telephone_number": "404-428-5808",
            "fax_number": "770-603-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193291",
            "telephone_number": "404-460-1924",
            "fax_number": "404-460-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYUKOKATA",
        "first_name": "SUSAN",
        "middle_name": "OTANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ENOW ASHU",
            "middle_name": "OTANG",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aynsley Corbett, Psy.D. PC
• Ayowumi Tolu Ayodele
• Lisa Marie Ayotte, RN
• Stephen M. Ayres, M.D.
• Suniah Seema Ayub, M.D.
• Viken Alexander Ayvazian, M.S., LPC, NCC
• Nadia Azad
• Olha Azad, M.D.
• Azal Healthcare LLC
• Daisy Katherine Azana, M.D.

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.