NPIMap

Organization Active NPI

Gideon Ofisi

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1033655915
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132772 Issued in TX
Legal business name
GIDEON OFISI
Practice address
5200 Blue Quartz Rd
Fort Worth, TX 76179-7326
Phone
(316) 807-1281
NPI assigned
Jan 16, 2017
Last updated
Jan 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Mr. Gideon W Ofisi, ARNPNPI 1760034672
Title
Nurse Practitioner
Phone
(316) 807-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132772 TX Primary

Addresses

Primary practice location

5200 Blue Quartz Rd
Fort Worth, TX 76179-7326

Mailing address

5200 Blue Quartz Rd
Fort Worth, TX 76179-7326
Phone (316) 807-1281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1033655915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BLUE QUARTZ RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797326",
            "telephone_number": "316-807-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BLUE QUARTZ RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797326",
            "telephone_number": "316-807-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDEON OFISI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "OFISI",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "316-807-1281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.