Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gideon Tah Fon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1891304887

Gideon Tah Fon is a Nurse Practitioner in Randallstown, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

6 Rock Story CT None
Randallstown, MD 21133-2844
Phone: (443) 676-6123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R134373 (MD)

Record details

NPI number1891304887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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