SHYAM GOVERDHANA (NPI# 1811282619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811282619 |
| Entity Type | Individual |
| Full Name | SHYAM GOVERDHANA |
| Credential | M.D. |
| Practice Address |
1405 E 1st St Suite 201 Dumas TX 79029-3570 |
| Mailing Address |
224 E 2nd St Dumas TX 79029-3808 |
| Practice Telephone | 8069352551 |
| Practice Fax Number | 8069352458 |
| Mailing Telephone | 8069352551 |
| Mailing Fax Number | 8069352458 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Q0757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 339900801 | 05 |
| Street Address |
1405 E 1ST ST SUITE 201 |
| City | DUMAS |
| State | TX |
| Zip Code | 79029-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962664128 | Margaret Bower | Surgery | 1405 E 1st St, Suite 101, Dumas, TX 79029-3570 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181283 | Shannon Ruth King | Nurse Practitioner | 6740 East Road M, Dumas, TX 79029 | 2020-07-20 |
| 1053752212 | Viral Bipinchandra Patel | Dentist | 2100 South Dumas Ave., Ste. 112, Dumas, TX 79029 | 2013-07-16 |
| 1699119958 | Casa Dental | Dentist | 2100 South Dumas Ave, Ste 112, Dumas, TX 79029 | 2013-04-17 |
| 1346518156 | David M. Bonner, D.d.s., P.C. | Dentist | 101 Binkley, Dumas, TX 79029 | 2011-12-07 |
| 1982848164 | Colleen M Randall | Specialist | 6332 Hwy 722, Dumas, TX 79029 | 2009-05-01 |
| 1831332576 | Casey Lee Lagan | Orthopaedic Surgery | 1515 E 1st, Suite 200, Dumas, TX 79029 | 2009-04-10 |
| 1821297631 | Steven Carl Agle | Surgery | 1405 E 1st St Ste 201, Dumas, TX 79029 | 2007-07-12 |
| 1639391246 | Hilliard Derek Floyd Md Pa | Specialist | 421 E. 1st Street, Dumas, TX 79029 | 2007-05-03 |
| 1558400382 | John Eric Boggs | Chiropractor | 613 E 1st, Dumas, TX 79029 | 2007-02-06 |
| 1790848174 | David Mal Bonner | Dentist | 404 E 1st St, Dumas, TX 79029 | 2006-12-18 |
| Find all providers in zip 79029 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922179712 | Bud E Faris | Family Medicine | 725 S Bliss, Dumas, TX 79029 | 2006-11-13 |
| 1871679001 | Thomas L Lewellen Sr. | Family Medicine | 105 W Waterman St, Dumas, AR 71639-2139 | 2006-10-31 |
| 1679655153 | Dumas Family Practice, LLC | Family Medicine | 120 Beard Ave, Dumas, TX 79029-4003 | 2006-10-20 |
| 1205871571 | Delta Family Medical Center | Family Medicine | 805 Highway 65 S, Dumas, AR 71639-3006 | 2006-06-19 |
| 1295722668 | Ralph Martin Maxwell | Family Medicine | 811 Highway 65 S, Dumas, AR 71639-3006 | 2005-09-30 |
| 1841806791 | Moore County Pho LLC | Family Medicine | 224 E 2nd St, Dumas, TX 79029-3808 | 2020-09-16 |
| 1255698213 | Justin Michael Corbin | Family Medicine | 224 E 2nd St, Dumas, TX 79029-3808 | 2012-04-16 |
| 1831425297 | Bonnie C Carter Md Pa | Family Medicine | 419 E 1st St, Dumas, TX 79029-3201 | 2009-10-20 |
| 1881848455 | Thomas L Lewellen Do Pa | Family Medicine | 105 W Waterman St, Dumas, AR 71639-2139 | 2008-11-10 |
| 1710013669 | Complete Family Medicine, P.a | Family Medicine | 419 E 1st St, Dumas, TX 79029-3201 | 2007-02-26 |
| Find all providers in DUMAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.