Collins Kwabena Boateng, PA-C
Collins Kwabena Boateng, PA-C is a Physician Assistant in Lakeridge, Virginia. Qualified in 2017, 9 years ago. Practices with Ear Nose and Throat and Facial Plastic Surgery Center of Frederick, a 13-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 9
- Licensed in
- VA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2070 Old Bridge Rd Ste 103Lakeridge, VA 22192-2945
Phone: (703) 499-8787
Fax: (703) 499-8222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0110005729 (VA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 0110005729 (VA) |
Record details
| NPI number | 1629502257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | April 20, 2017 |
| Last updated in NPPES | May 13, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Ear Nose And Throat And Facial Plastic Surgery Center Of Frederick — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |