Provider Demographics
NPI:1689248775
Name:AGYEPONG, ABENA FRAMSO
Entity type:Individual
Prefix:
First Name:ABENA
Middle Name:FRAMSO
Last Name:AGYEPONG
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 1:7642 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3204
Mailing Address - Country:US
Mailing Address - Phone:513-619-7766
Mailing Address - Fax:513-810-4400
Practice Address - Street 1:7642 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3204
Practice Address - Country:US
Practice Address - Phone:513-619-7766
Practice Address - Fax:513-810-4400
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH59.000900213ES0131X, 213ES0103X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery