Individual provider Active NPI

Isaac Yaw Tandoh

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1760656144
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 128629 Issued in OH
Practice address
1902 Tamarack Cir N Apt D
Columbus, OH 43229-4518
Phone
(614) 432-4662
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN 128629 OH Primary
Licensed Practical Nurse 164W00000X 128629 OH

Addresses

Primary practice location

1902 Tamarack Cir N Apt D
Columbus, OH 43229-4518

Mailing address

1902 Tamarack Cir N Apt D
Columbus, OH 43229-4518
Phone (614) 432-4662

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
128629OHMDLicensed Practical Nurse
PN 128629OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1760656144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 TAMARACK CIR N APT D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294518",
            "telephone_number": "614-432-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 TAMARACK CIR N APT D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294518",
            "telephone_number": "614-432-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDOH",
        "first_name": "ISAAC",
        "middle_name": "YAW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 128629",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "128629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.