Active NPI
Gerald J Akpassa MD PA
- Internal Medicine Physician
- Carthage, TX
National Provider Identifier
1376856161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1419
- 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 PA
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M1419 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447296975 | Other | TX | NPI |
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.