Gowin Enterprises Inc

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

5103061 Issued in IL

Legal business name

GOWIN ENTERPRISES INC

Practice address

300 Lerna Rd S
Mattoon, IL 61938-9389

Phone

(217) 234-3003

Fax

(217) 234-3081

NPI assigned

Sep 29, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Suzanne Gowin

Title

President

Phone

(217) 234-3003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1871877597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6484 N COUNTY ROAD 1320E",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619207952",
            "telephone_number": "217-345-9415",
            "fax_number": "217-345-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LERNA RD S",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389389",
            "telephone_number": "217-234-3003",
            "fax_number": "217-234-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWIN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "GOWIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-234-3003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IL",
            "license": "5103061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Goldstein, OD
• Robert G Good, DO
• Mary Elizabeth Gorman, M.D.
• Michael Shane Gosnell, PT, DPT
• Allyson K. Gough, APRN, BC
• Charles Grant, CRNA
• George R Grant, MD
• Kaley Graves, AUD
• Thomas Gray, C.R.N.A.
• Cassie Green, RN

• Alzheimer Center (Dementia Center) in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Alzheimer Center (Dementia Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.