NPIMap

Organization Active NPI

V. John Gonino D.O, P.a.

  • Family Medicine Physician
  • Heath, TX
National Provider Identifier
1346493285
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2032 Issued in TX
Legal business name
V. JOHN GONINO D.O, P.A.
Practice address
6720 Horizon
Heath, TX 75032-6273
Phone
(469) 402-2800
Fax
(469) 402-0348
NPI assigned
Oct 23, 2008
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
V John Gonino, D.O.
Title
Owner
Phone
(469) 402-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J2032 TX Primary

Addresses

Primary practice location

6720 Horizon
Heath, TX 75032-6273

Mailing address

6720 Horizon
Heath, TX 75032-6273
Phone (469) 402-2800

Other names 1

  • Gonino Center for Healing Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000437 TX Part B Supplier - Clinic/Group Practice 7315006491 Receives reassigned benefits from 4 practitioners
Practice locations: Heath, TX

National Provider Directory

National Provider Directory

Locations

6720 Horizon Rd
Rockwall, TX 75032
Phone (469) 402-2800

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1346493285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 HORIZON",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326273",
            "telephone_number": "469-402-2800",
            "fax_number": "469-402-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 HORIZON",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326273",
            "telephone_number": "469-402-2800",
            "fax_number": "469-402-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. JOHN GONINO D.O, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "GONINO",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-402-2800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonino Center for Healing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.