Goga Health and Fitness LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

GOGA HEALTH AND FITNESS LLC

Doing business as

GOGA Mobile Radiology

Practice address

20 Bent Tree Rd
Texarkana, TX 75503-9742

Phone

(903) 791-0500

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John A Woodman Jr.

Title

Owner

Phone

(903) 277-6606

Specialties & licenses 1

Addresses

Other names 1

• GOGA Mobile Radiology Doing business as

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1326426545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BENT TREE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039742",
            "telephone_number": "903-791-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BENT TREE RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039742",
            "telephone_number": "903-791-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOGA HEALTH AND FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "WOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-277-6606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOGA Mobile Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen B Glenn, MD
• Glenwood Pharmacy
• Tresa Glover
• David A. Godwin, PA-C
• Patricia Louise Goesl, PTA
• Cassie Lee Gonzales, APN
• Hitashia Nichole Goodmon, MS, BS, EIS
• Aidan Goodreau, PA-C
• Wendy Michelle Gordon, LSA
• Graced &Gifted Hands Home Health LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.