Active NPI
Yaw Otchere-Boateng, MD
- Internal Medicine Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29872
- Practice address
- 1627 Quarrier St
Charleston, WV 25311-2124 - Phone
- (757) 536-2246
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Emergency Medicine Physician | 207P00000X | 40708 | TN | |
| Internal Medicine Physician | 207R00000X | 0101242839 | VA | |
| Internal Medicine Physician | 207R00000X | 40708 | TN | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | FO3926663 | TN | |
| Hospitalist Physician | 208M00000X | 40708 | TN | |
| Hospitalist Physician | 208M00000X | 43217 | KY | |
| Internal Medicine Physician | 207R00000X | 29872 | WV | Primary |
Addresses
Primary practice location
1627 Quarrier St
Charleston, WV 25311-2124
Mailing address
1005 Carrington CT
Kingsport, TN 37660-5694
Phone (236) 777-0404
Other practice location 1
2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524
Phone (757) 536-2246
Other names 1
- Yaw Otchere-Boateng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29872 | WV | MD | Internal Medicine Physician |
| FO3926663 | TN | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| App of Tennessee HM, PLLC | Emergency Medicine | Current | Accepting new patients |
| Cogent Healthcare of Tennessee, PC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Macon, LLC | Internal Medicine | Current | Accepting new patients |
| Williamston Clinic Corp | Internal Medicine | Current | Accepting new patients |
| Saint Thomas Medical Partners | Internal Medicine | Current | Accepting new patients |
| Inpatient Medical Services, PC | Hospitalist | Past | Accepting new patients |
| Primedoc Park Ridge PA | Internal Medicine | Past | Accepting new patients |
| Comprehensive Hospitalist Services of South Carolina | Hospitalist | Past | Accepting new patients |
| Inpatient Consultants of Tennessee, P.C. | Internal Medicine | Past | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Past | Accepting new patients |
Locations
777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300
310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000
110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431
1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500
410 W Crawford Ave
Monterey, TN 38574
Phone (931) 537-6524
300 20th Ave N
Fl 9
Nashville, TN 37203
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433
Interoperability endpoints
- yotche02@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1073564217
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1952654246
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Hospitalist Physician
- Gaffney, SC
- NPI 1598196412
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1497704050
Internal Medicine
-
- Hospitalist Physician
- Johnson City, TN
- NPI 1316925191
-
- Internal Medicine Physician
- Hendersonville, NC
- NPI 1023198728
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1881668937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 CARRINGTON CT",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605694",
"telephone_number": "236-777-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 QUARRIER ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112124",
"telephone_number": "757-536-2246"
}
],
"practiceLocations": [
{
"address_1": "2901 S Lynnhaven Rd Ste 450",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234528524",
"country_code": "US",
"telephone_number": "757-536-2246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTCHERE-BOATENG",
"first_name": "YAW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "40708",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101242839",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "40708",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "TN",
"license": "FO3926663",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "40708",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "43217",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "29872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YAW",
"last_name": "OTCHERE-BOATENG",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.