Gideon Tah Fon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R134373 Issued in MD

Practice address

6 Rock Story CT
None
Randallstown, MD 21133-2844

Phone

(443) 676-6123

NPI assigned

Jul 27, 2020

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 MD

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Evercare Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randallstown, MD
  • NPI 1780390088

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1891304887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROCK STORY CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332844",
            "telephone_number": "443-676-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROCK STORY CT",
            "address_2": "NONE",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332844",
            "telephone_number": "443-676-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FON",
        "first_name": "GIDEON",
        "middle_name": "TAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R134373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaia Finney, CRNA
• First Step, Inc
• First Step, Inc
• Michelle Helene Fitzgerald, PTA
• Kristy Michelle Fogle, PA-C
• For 4Everblessed LLC
• For Hope'S Sake, LLC
• Foritda Health Solutions LLC
• Keyana Ashley Foster, MD
• Irene Foy, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.