Organization Active NPI

Stephen Ogavu

  • Land Ambulance
  • Rosharon, TX
National Provider Identifier
1104068295
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1000163 Issued in TX
Legal business name
STEPHEN OGAVU
Practice address
8213 Farthing Lane
Rosharon, TX 77583-6634
Phone
(832) 228-8483
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Stephen OgavuNPI 1336396381
Title
Owner/Ceo
Phone
(832) 228-8483

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
Land Ambulance 3416L0300X 1000163 TX Primary

Addresses

Primary practice location

8213 Farthing Lane
Rosharon, TX 77583-6634

Mailing address

PO Box 421854
Houston, TX 77242-1854
Phone (832) 228-8433

Other identifiers 1

IdentifierTypeStateIssuer
1000163OtherTXEMS PROVIDER LICENCE

Other names 1

  • Lifeline Care EMS Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1104068295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421854",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421854",
            "telephone_number": "832-228-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 FARTHING LANE",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775836634",
            "telephone_number": "832-228-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN OGAVU",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "OGAVU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "832-228-8483"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMS PROVIDER LICENCE",
            "identifier": "1000163",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Care EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosharon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.