Active NPI
Miroslawa Jolanta Giovi, PA-C
- Physician Assistant
- Denton, TX
National Provider Identifier
1184620601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02800
- Practice address
- 1219 Oakland Street
Texas Woman's University
Denton, TX 76204-5467 - Phone
- (940) 898-3555
- Fax
- (940) 898-3555
- NPI assigned
- Jun 21, 2005
- Last updated
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02800 | TX | Primary |
Addresses
Primary practice location
1219 Oakland Street
Texas Woman's University
Denton, TX 76204-5467
Mailing address
1600 Oakhollow Dr
Corinth, TX 76210-1927
Phone (940) 293-3171
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082062301 | Medicaid | TX | |
| P00240622 | Other | TX | MEDICARE - RR |
| 000F0777 | Medicaid | NM | |
| PA02800 | Other | TX LICENSE | |
| 8N6038 | Other | TX | BCBS |
| 8J9261 | Other | TX | PTAN WHEN AT NORTH TEXAS DIABETES & ENDO |
Other names 1
- Miroslawa Jolanta Lindsey, Bodnar, Borawska
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02800 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Infectious Diseases | Past | Accepting new patients | |
| Consultants in Infectious Diseases | Past | Accepting new patients | |
| North Texas Diabetes & Endocrinology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0afb6793-ac40-40a5-8123-d13a308d2792/
- mgiovi27627@direct.phhs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Lubbock, TX
- NPI 1578569893
-
- Infusion Therapy Clinic/Center
- Lubbock, TX
- NPI 1588997225
-
- Endocrinology, Diabetes & Metabolism Physician
- Lewisville, TX
- NPI 1609835925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1184620601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 OAKHOLLOW DR",
"city": "CORINTH",
"state": "TX",
"postal_code": "762101927",
"telephone_number": "940-293-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 OAKLAND STREET",
"address_2": "TEXAS WOMAN'S UNIVERSITY",
"city": "DENTON",
"state": "TX",
"postal_code": "762045467",
"telephone_number": "940-898-3555",
"fax_number": "940-898-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOVI",
"first_name": "MIROSLAWA",
"middle_name": "JOLANTA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-21",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082062301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RR",
"identifier": "P00240622",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000F0777",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE",
"identifier": "PA02800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N6038",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN WHEN AT NORTH TEXAS DIABETES & ENDO",
"identifier": "8J9261",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MIROSLAWA",
"last_name": "LINDSEY, BODNAR, BORAWSKA",
"middle_name": "JOLANTA",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.