Individual provider Active NPI

Gordon Patterson Sharratt, D.O.

  • General Practice Physician
  • Fort Worth, TX
National Provider Identifier
1376817932
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G3778 Issued in TX
Practice address
3605 Roberts Cut Off Rd
Fort Worth, TX 76114-1039
Phone
(817) 238-8200
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G3778 TX Primary

Addresses

Primary practice location

3605 Roberts Cut Off Rd
Fort Worth, TX 76114-1039

Mailing address

3605 Roberts Cut Off Rd
Fort Worth, TX 76114-1039
Phone (817) 238-8200

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
G3778TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1376817932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 ROBERTS CUT OFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141039",
            "telephone_number": "817-238-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 ROBERTS CUT OFF RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141039",
            "telephone_number": "817-238-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARRATT",
        "first_name": "GORDON",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G3778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.