Individual provider Active NPI

Esmey Obeng, PA

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1154983831
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13527 Issued in TX
Practice address
1700 Alma Dr Ste 580
Plano, TX 75075-7009
Phone
(469) 344-1414
Fax
(469) 863-7088
NPI assigned
Jul 2, 2019
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13527 TX Primary

Addresses

Primary practice location

1700 Alma Dr Ste 580
Plano, TX 75075-7009

Mailing address

1700 Alma Dr Ste 580
Plano, TX 75075-7009
Phone (469) 344-1414

Other practice location 1

3140 Legacy Dr Ste 130
Frisco, TX 75034-7919
Phone (972) 221-7900

Other names 1

  • Esmey Osabutey Former name

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13527TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Family Consulting PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1154983831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ALMA DR STE 580",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757009",
            "telephone_number": "469-344-1414",
            "fax_number": "469-863-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALMA DR STE 580",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757009",
            "telephone_number": "469-344-1414",
            "fax_number": "469-863-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Legacy Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347919",
            "country_code": "US",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBENG",
        "first_name": "ESMEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESMEY",
            "last_name": "OSABUTEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.