Individual provider Active NPI

James Awuah, PA-C, MPH

  • Medical Physician Assistant
  • Martin, SD
National Provider Identifier
1609347798
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
102 Major Allen St
Martin, SD 57551-6005
Phone
(605) 685-1660
Fax
(605) 685-1665
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

102 Major Allen St
Martin, SD 57551-6005

Mailing address

102 Major Allen St
Martin, SD 57551-6005
Phone (605) 685-1660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190410001471 SD Practitioner - Physician Assistant 0840531331 Reassigns benefits to 2 organizations
I20221109000517 ND Practitioner - Physician Assistant 0840531331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Major Allen St
Martin, SD 57551-6005
Phone (605) 685-6622

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lisbon Area Health Services CurrentSince Oct 1, 2022 Accepting new patients
Bennett County Hospital and Nursing Home CurrentSince Feb 1, 2019 Accepting new patients
Mercy Hospital CurrentSince Oct 1, 2022 Accepting new patients
Lisbon Area Health Services Past Accepting new patients

Locations

3276 Solutions Ctr
Chicago, IL 60677

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

102 Major Allen St
Martin, SD 57551
Phone (605) 685-6622

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1609347798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAJOR ALLEN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575516005",
            "telephone_number": "605-685-1660",
            "fax_number": "605-685-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAJOR ALLEN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575516005",
            "telephone_number": "605-685-1660",
            "fax_number": "605-685-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWUAH",
        "first_name": "JAMES",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, SD

Sources for this page

Verify at the official NPI Registry.