Gideon Ofisi, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP132772 Issued in TX

Practice address

5200 Blue Quartz Rd
Fort Worth, TX 76179-7326

Phone

(316) 807-1281

NPI assigned

Jul 10, 2019

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Podiatry Associates of Texas 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gofisi@landmarkhealth-direct.org
• Direct secure messaging: gideon.ofisi.1@9826.direct.athenahealth.com

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.

• Podiatry Associates of Texas.

  • Podiatrist
  • Arlington, TX
  • NPI 1871998534

  TX

  Medicare reassignment Care Compare group NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment NPD
• Bratton Healthcare Enterprises PLLC

  • Nurse Practitioner
  • Mt Pleasant, TX
  • NPI 1467917435

  TX

  Medicare reassignment
• Gideon Ofisi

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1033655915
  NPD (past) Authorized official

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1760034672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BLUE QUARTZ RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797326",
            "telephone_number": "316-807-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 BLUE QUARTZ RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797326",
            "telephone_number": "316-807-1281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7912 Joshua Tree Ct",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760024767",
            "country_code": "US",
            "telephone_number": "214-514-9205",
            "fax_number": "817-419-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFISI",
        "first_name": "GIDEON",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin C. Oetken, PA-C
• Office of Sherry Kondziela, MD PLLC
• Offices of Family Medicine PLLC
• Amanda Marie Offield, MS, RD, LD, CNSC
• Rosy Ofili, APRN, FNP-BC
• Paulinus Ofoduru
• Unimke Ogar, MD
• Chioma B Ogba
• Jennifer Ogbeide, NP
• Geoffrey Ogbogu II, PHARM.D., CDM.

• All providers in Fort Worth, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.