Jofonz Govan

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

635156 Issued in TX

Practice address

3909 W Airport Fwy Ste 40
Irving, TX 75062-5905

Phone

(214) 995-6720

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1326543729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S FORUM DR APT 18203",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 W AIRPORT FWY STE 40",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625905",
            "telephone_number": "214-995-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVAN",
        "first_name": "JOFONZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "635156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Gosline, FCP
• Smriti Kana Goswami, WHCNP
• Goto Lab Express Texas LLC
• Ryan Gottleaber
• Jamie Eden Gottlieb, M.D.
• Naga Manasa Govindarajula
• Dinesh Nanjunde Gowda, M.D.
• GP Podiatry Associates
• Grace Dental
• Grace Dental, P.a.

• Prosthetics Case Management in Irving, TX
• Providers in Irving, TX by specialty
• Prosthetics Case Management in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.