Gogo Technologies, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GOGO TECHNOLOGIES, INC.

Practice address

26250 Euclid Ave FL 9
Euclid, OH 44132-3305

Phone

(619) 917-5091

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Justin Boogaard

Title

Owner/Ceo

Phone

(619) 917-5091

Specialties & licenses 6

Addresses

Other names 1

• GoGoGrandparent Doing business as

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1114497658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268B BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 EUCLID AVE FL 9",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323305",
            "telephone_number": "619-917-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGO TECHNOLOGIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "BOOGAARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "619-917-5091"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoGoGrandparent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dylan J Glover
• Parrish A Glover
• Iyisha Godfrey, RN
• Juliana M Godspower-Odiong, LPN
• Rush Godspower-Odiong, LPN
• Going Your Way Transport L.L.C
• Going Your Way Transport L.L.C.
• Brenda R Goins
• Rayshawn Goins
• Golden Arms Home Care Agency LLC

• Geriatric Medicine (Internal Medicine) Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Geriatric Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.