Individual provider Active NPI

Gary Ozier, M.D.

  • Family Medicine Physician
  • Wichita Falls, TX
National Provider Identifier
1922086065
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9910 Issued in TX
Practice address
4245 Kemp Blvd Ste 420
Wichita Falls, TX 76308-2833
Phone
(940) 322-7113
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F9910 TX Primary

Addresses

Primary practice location

4245 Kemp Blvd Ste 420
Wichita Falls, TX 76308-2833

Mailing address

3 Bosque Cir
Wichita Falls, TX 76309-1418
Phone (940) 704-7044

Other identifiers 1

IdentifierTypeStateIssuer
0390429-01MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710001199 TX Order and Referring Only - Family PracticePractitioner - Family Practice 5294812905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F9910TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Home Health Service, Inc. CurrentSince Jun 16, 2024 Accepting new patients

Locations

4245 Kemp Blvd
Ste 420
Wichita Falls, TX 76308
Phone (940) 322-7113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1922086065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BOSQUE CIR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091418",
            "telephone_number": "940-704-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 KEMP BLVD STE 420",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082833",
            "telephone_number": "940-322-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZIER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390429-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.