Joseph Ulysses Gajan IV, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80601 Issued in TX

Practice address

University of Texas Medical BR
301 University Blvd.
Galveston, TX 77555-0523

Phone

(409) 772-2711

Fax

(409) 747-2185

NPI assigned

Jun 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1083053458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS MEDICAL BR",
            "address_2": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550523",
            "telephone_number": "409-772-2711",
            "fax_number": "409-747-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS MEDICAL BR",
            "address_2": "301 UNIVERSITY BLVD.",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550523",
            "telephone_number": "409-772-2711",
            "fax_number": "409-747-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJAN",
        "first_name": "JOSEPH",
        "middle_name": "ULYSSES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80601",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "TX",
            "license": "80601",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "80601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe S Funston, MD
• Yumna Furqan, MD
• Caroline Ashlie Gaddis, LPC
• Jaclyn Rachelle Gaffey, MD
• Netyka Gage, PHARMD
• Sneha Bhuvaneshwari Gajarla, MD
• Brian Gale, DO
• James J. Gallagher, M.D.
• Deborah Galliver, MD
• Morgan Gallo, MD

• All providers in Galveston, TX
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.