Provider Demographics
NPI:1063273050
Name:GYIMAH, ROSEMOND GYASIWAA
Entity type:Individual
Prefix:
First Name:ROSEMOND
Middle Name:GYASIWAA
Last Name:GYIMAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12931 BENTWOOD FARMS DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8133
Mailing Address - Country:US
Mailing Address - Phone:161-489-7680
Mailing Address - Fax:
Practice Address - Street 1:2296 LAURELWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-9601
Practice Address - Country:US
Practice Address - Phone:220-216-5857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)