Organization Active NPI

Gerald J Akpassa MD PA

  • Internal Medicine Physician
  • Carthage, TX
National Provider Identifier
1376856161
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M1419 Issued in TX
Legal business name
GERALD J AKPASSA MD PA
Practice address
4054 NW Loop
Carthage, TX 75633-3346
Phone
(903) 693-8504
Fax
(480) 705-7301
NPI assigned
Jul 21, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gerald Akpassa, MD PANPI 1447296975
Title
Owner/Provider
Phone
(903) 693-8504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M1419 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4054 NW Loop
Carthage, TX 75633-3346

Mailing address

1029 Riverwood Dr
Longview, TX 75604-6228
Phone (903) 693-8504

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1447296975OtherTXNPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2010.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1376856161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 RIVERWOOD DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046228",
            "telephone_number": "903-693-8504",
            "fax_number": "480-705-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 NW LOOP",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756333346",
            "telephone_number": "903-693-8504",
            "fax_number": "480-705-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J AKPASSA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "AKPASSA",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "903-693-8504",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447296975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.