Organization Active NPI

Ohimaa, LLC

  • Internal Medicine Physician
  • Tamuning, GU
National Provider Identifier
1689375115
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OHIMAA, LLC
Practice address
160 N Marine Corps Dr Ste 5B
Tamuning, GU 96913-4163
Phone
(671) 646-1440
Fax
(671) 646-1441
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Akua Agyeman, MD
Title
Ceo
Phone
(671) 646-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

160 N Marine Corps Dr Ste 5B
Tamuning, GU 96913-4163

Mailing address

1270 N Marine Corps Dr Ste 101-2050
Tamuning, GU 96913-4331
Phone (671) 646-1440

Other names 1

  • Ohimaa Medical, Guam Laser Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

160 N Marine Corps Dr
Ste 5B
Tamuning, GU 96913
Phone (671) 646-1440

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1689375115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N MARINE CORPS DR STE 101-2050",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134331",
            "telephone_number": "671-646-1440",
            "fax_number": "671-646-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MARINE CORPS DR STE 5B",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134163",
            "telephone_number": "671-646-1440",
            "fax_number": "671-646-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIMAA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "AKUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "671-646-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohimaa Medical, Guam Laser Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.