DR. PAUL EDOSA AIFESEHI M.D., MPH
NPI 1285009050
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Paul Aifesehi's NPI number?

The NPI number for Paul Aifesehi is 1285009050. It was assigned to this individual provider in the NPPES registry on December 5, 2015.

Q: What is Paul Aifesehi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Aifesehi was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2015

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-3117 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Mar 17, 2018, Oct 16, 2017 and 1 more (4 updates tracked since 2015).

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About Dr. Paul Edosa Aifesehi M.d., Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL EDOSA AIFESEHI M.D., MPH (NPI 1285009050) is an individual student in an organized health care education/training program in Fort Worth, Texas, licensed in New York (P00296) and active in the NPI registry since December 2015. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285009050

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PAUL EDOSA AIFESEHICredential: M.D., MPH

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing AddressPo Box 858Hershey, PA 17033-0858 · (800) 243-1455

Phone(817) 250-3117

Sole ProprietorNo

Enumeration DateDecember 5, 2015

Last NPPES UpdateMarch 22, 20214 updates tracked since enumeration

NPPES CertifiedMarch 22, 2021

✔ NPI 1285009050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NY · P00296

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License LT000792 (PA)

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Secondary Practice Locations 2

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 955-2698

Location 2500 University DrHershey, PA 17033-2360 · Phone (717) 531-8407 · Fax (717) 531-4077

Other Identifiers 1

Medicaid1033559050001PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine