Victor Osagie Aghatise, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06283 Issued in TX

Practice address

17567 Imperial Valley Dr
Houston, TX 77060-6102

Phone

(281) 877-0187

Fax

(281) 877-0189

NPI assigned

Jun 25, 2009

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Valley Medical Clinic, LLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1457645087
  Medicare reassignment
• Hourclinic LLC

  • Health Service Clinic/Center
  • Houston, TX
  • NPI 1902078710
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1184852469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17567 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770606102",
            "telephone_number": "281-877-0187",
            "fax_number": "281-877-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770606102",
            "telephone_number": "281-877-0187",
            "fax_number": "281-877-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHATISE",
        "first_name": "VICTOR",
        "middle_name": "OSAGIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06283",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chineye Blessing Aghado, PMHNP
• Naomi Aghado
• Taline Aghajanian, D.D.S.
• Anthony Aghaji Felix, PTA
• Niloufar Aghakasiri, M.D.
• Monty Arta Aghazadeh, MD
• Chandni Kirti Aghera, DO
• Angelica Aghili, LPC-A
• Amenze Lisa Aghimien, FNP-C
• Efosa Aghimien, MD

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.