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GRACE K GONGIDI PA
NPI 1437479458
Physician Assistant in Fort Worth, TX

Active since June 02, 2010
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-7840(682) 885-7856 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Apr 9, 2021, Oct 8, 2019 (3 updates tracked since 2019).

About Grace K Gongidi Pa NPPES

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

GRACE K GONGIDI PA (NPI 1437479458) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1437479458
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE K GONGIDICredential: PA
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1860 · Fax (682) 885-1396
Phone(682) 885-7840
Fax(682) 885-7856
Sole ProprietorNo
Enumeration DateJune 2, 2010
Last NPPES UpdateMay 6, 20213 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1437479458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 COOPER ST, Fort Worth, TX 76104
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Other Names 1

Former Name (1)Grace K Crotzer Pa

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.

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Gongidi's NPI number?

The NPI number for Grace Gongidi is 1437479458. It was assigned to this individual provider in the NPPES registry on June 2, 2010. The provider is also known as Grace K Crotzer PA.

Where is Grace Gongidi located?

Grace Gongidi practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-7840.

What is Grace Gongidi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Grace Gongidi was last updated on May 6, 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.