Active NPI
Stephen Ogavu
- Land Ambulance
- Rosharon, TX
National Provider Identifier
1336396381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000163
- Practice address
- 8123 Farthing LN
Rosharon, TX 77583-6634 - Phone
- (832) 228-8483
- NPI assigned
- Aug 21, 2008
- 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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000163 | TX | Primary |
Addresses
Primary practice location
8123 Farthing LN
Rosharon, TX 77583-6634
Mailing address
PO Box 421854
Houston, TX 77242-1854
Phone (832) 228-8483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000163 | Other | TX | EMS PROVIDER LICENCE |
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 |
|---|---|---|---|
| 1000163 | TX | MD | Land Ambulance |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citywide EMS LLC | Land Transport | Current | Accepting new patients |
| Stephen Ogavu | Land Transport | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1336396381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421854",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772421854",
"telephone_number": "832-228-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8123 FARTHING LN",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775836634",
"telephone_number": "832-228-8483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAVU",
"first_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMS PROVIDER LICENCE",
"identifier": "1000163",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosharon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.