Active NPI
Maxwell Ofori, MD
- Emergency Medicine Physician
- El Paso, TX
National Provider Identifier
1992295604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 43-0654872
- Practice address
- 10301 Gateway Blvd W
El Paso, TX 79925-7701 - Phone
- (915) 595-9000
- NPI assigned
- May 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43-0654872 | MO | Primary |
Addresses
Primary practice location
10301 Gateway Blvd W
El Paso, TX 79925-7701
Mailing address
1505 18TH St NW
Cleveland, TN 37311-1520
Phone (423) 614-0187
Other practice location 1
1505 18th St NW
Cleveland, TN 37311-1520
Phone (423) 614-0187
Other practice location 2
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 577-8780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-0654872 | MO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1992295604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 18TH ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373111520",
"telephone_number": "423-614-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GATEWAY BLVD W",
"city": "EL PASO",
"state": "TX",
"postal_code": "799257701",
"telephone_number": "915-595-9000"
}
],
"practiceLocations": [
{
"address_1": "1505 18th St NW",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373111520",
"country_code": "US",
"telephone_number": "423-614-0187",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3635 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "314-577-8780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFORI",
"first_name": "MAXWELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "43-0654872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.