Individual provider Active NPI

Isaac Kwesi Amoako, MD

  • Internal Medicine Physician
  • Big Spring, TX
National Provider Identifier
1902818735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101237134 Issued in VA
Practice address
300 W Veterans Blvd
Big Spring, TX 79720-5566
Phone
(432) 263-7361
Fax
(432) 268-5072
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101237134 VA Primary

Addresses

Primary practice location

300 W Veterans Blvd
Big Spring, TX 79720-5566

Mailing address

3103 Mountain Shadow
Big Spring, TX 79720-6645
Phone (432) 935-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130909000630 VA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9931343126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101237134VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902818735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 MOUNTAIN SHADOW",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206645",
            "telephone_number": "432-935-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W VETERANS BLVD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205566",
            "telephone_number": "432-263-7361",
            "fax_number": "432-268-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOAKO",
        "first_name": "ISAAC",
        "middle_name": "KWESI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.