Active NPI
Samson O Fahm
- Non-emergency Medical Transport (VAN)
- Stafford, TX
National Provider Identifier
1104538297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 111 Brand LN Ste 903
Stafford, TX 77477-4801 - Phone
- (832) 707-7390
- Fax
- (208) 248-3482
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
111 Brand LN Ste 903
Stafford, TX 77477-4801
Mailing address
111 Brand LN Ste 903
Stafford, TX 77477-4801
Phone (832) 707-7390
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfahm@tripodconcepts.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tripod Concepts LLC | Current | Accepting new patients | |
| Tripod Concepts LLC | Current | Accepting new patients |
Locations
111 Brand Ln
Ste 903
Stafford, TX 77477
Phone (832) 707-7390
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Secured Medical Transport (VAN)
- Houston, TX
- NPI 1508571407
-
- Secured Medical Transport (VAN)
- Stafford, TX
- NPI 1568169639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1104538297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BRAND LN STE 903",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774801",
"telephone_number": "832-707-7390",
"fax_number": "208-248-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BRAND LN STE 903",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774774801",
"telephone_number": "832-707-7390",
"fax_number": "208-248-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHM",
"first_name": "SAMSON",
"middle_name": "O",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfahm@tripodconcepts.org",
"affiliation": "N",
"endpointDescription": "office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "111 Brand Ln Ste 903",
"city": "Stafford",
"state": "TX",
"country_code": "US",
"postal_code": "774774801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.