Gedamneh Fantaye, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3301 Matlock Rd
Arlington, TX 76015-2908

Phone

(817) 983-3024

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: gedamneh.fantaye@hca7.eclinicaldirectplus.com

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1285493510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 WHITTMORE DR",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371352915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152908",
            "telephone_number": "817-983-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAYE",
        "first_name": "GEDAMNEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ZZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Healthcare Associates
• Family Orthopedics and Rehabilitation, LLP
• Bobby Fancher, R.PH.
• Xiao-En Fang, M.D.
• Fannin County Hospital Authority (Interlochen Health and Rehabiltation Center)
• Moza Shwaib Faraji, MSN, APRN, FNP-BC
• Lauren Elizabeth Farbiak, PA-C
• Vincent Alexander Farfan, LMT
• Alma Lisset Farias
• Farley W Brown (1St Choice Healthcare)

• Student in an Organized Health Care Education/Training Program in Arlington, TX
• Providers in Arlington, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.