Active NPI
Milton Odiwuor Togo, PA-C
- Medical Physician Assistant
- Gatesville, TX
National Provider Identifier
1245629328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA07872
- Practice address
- RR 2 Box 4400
Gatesville, TX 76597-0001 - Phone
- (254) 865-6663
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07872 | TX | Primary |
Addresses
Primary practice location
RR 2 Box 4400
Gatesville, TX 76597-0001
Mailing address
5210 Bagby Ave Apt 536
Waco, TX 76711-2313
Phone (817) 658-5719
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07872 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1245629328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 BAGBY AVE APT 536",
"city": "WACO",
"state": "TX",
"postal_code": "767112313",
"telephone_number": "817-658-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 2 BOX 4400",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765970001",
"telephone_number": "254-865-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOGO",
"first_name": "MILTON",
"middle_name": "ODIWUOR",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.