Active NPI
Goran A Jezic, MD
- Physical Medicine & Rehabilitation Physician
- Houston, TX
National Provider Identifier
1194770990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J4237
- Practice address
- 1200 Binz St
Suite 970
Houston, TX 77004-6900 - Phone
- (713) 400-1005
- Fax
- (713) 400-1006
- NPI assigned
- May 23, 2006
- Last updated
- Nov 18, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | J4237 | TX | Primary |
Addresses
Primary practice location
1200 Binz St
Suite 970
Houston, TX 77004-6900
Mailing address
1200 Binz St
Suite 970
Houston, TX 77004-6900
Phone (713) 400-1005
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4237 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G Force Regeneration LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Regen Med PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Gulf Coast Spine Care LTD., PA | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1760024830
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1922606367
-
- Orthopaedic Surgery of the Spine Physician
- Houston, TX
- NPI 1790979342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1194770990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BINZ ST",
"address_2": "SUITE 970",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046900",
"telephone_number": "713-400-1005",
"fax_number": "713-400-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BINZ ST",
"address_2": "SUITE 970",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046900",
"telephone_number": "713-400-1005",
"fax_number": "713-400-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEZIC",
"first_name": "GORAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "J4237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.