Physician Compare National (NPI:1316422199)

HEALTHCARE PROVIDER: ANGELIA LYNETTE SAKYI-AGYEKUM PA

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316422199
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7416380621
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191202002319
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAKYI-AGYEKUM
	Individual professional last name
Provider First Name	ANGELIA
	Individual professional first name
Provider Middle Name	LYNETTE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2019
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8291 DANI DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101A
	Group Practice or individual's line 2 address
City	FORT MYERS
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	339668009
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y