RICHARD B STOVALL (NPI# 1134115595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134115595 |
| Entity Type | Individual |
| Full Name | RICHARD B STOVALL |
| Credential | M.D. |
| Practice Address |
2200 Park Bend Dr Bldg 2, Ste 201 Austin TX 78758-5388 |
| Mailing Address |
Po Box 25887 Oklahoma City OK 73125-0887 |
| Practice Telephone | 5128358100 |
| Practice Fax Number | 5128358101 |
| Mailing Telephone | 5128358100 |
| Mailing Fax Number | 5128358101 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | K5409 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161400002 | 05 | |
| TX | BC/BS INDIVIDUAL | 8S5890 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043449 | Richard Loy Stovall | Dentist | 4151 17 Mile Rd, Ste F, Sterling Hts, MI 48310-6866 | 2005-06-15 |
| Street Address |
2200 PARK BEND DR BLDG 2, STE 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811410392 | Brenda Cobian Olmos | Nurse Practitioner | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2017-07-17 |
| 1538610274 | Rockdale Blackhawk, LLC | General Practice | 2200 Park Bend Dr, Bldg 2-301, Austin, TX 78758-5387 | 2016-10-18 |
| 1538612981 | Lily Swann | Physical Therapist | 2200 Park Bend Dr, Austin, TX 78758-5387 | 2016-08-02 |
| 1669826376 | Antionne Harp | Chiropractor | 2200 Park Bend Dr, Suite 300, Austin, TX 78758-5387 | 2016-04-19 |
| 1699154716 | Cs Surgical Pllc | Physician Assistant | 2200 Park Bend Dr, Ste 2-201, Austin, TX 78758-5387 | 2015-05-21 |
| 1699169276 | Tessa Gibbs | Nurse Practitioner | 2200 Park Bend Dr, Building 1 Suite 201, Austin, TX 78758-5388 | 2015-03-23 |
| 1063815769 | Neva M. Schmelzer | Nurse Practitioner | 2200 Park Bend Dr, Bldg 1, Suite 401, Austin, TX 78758-5387 | 2014-10-08 |
| 1851790083 | Matthew Gieringer | Physical Therapist | 2200 Park Bend Dr, Building 1 Suite 202, Austin, TX 78758-5387 | 2014-08-13 |
| 1629484852 | Sara Jean Linedecker | Pharmacist | 2200 Park Bend Dr, Bldg 1, Ste 300, Austin, TX 78758-5387 | 2014-07-08 |
| 1689097248 | Linh V. Ong | Nurse Anesthetist, Certified Registered | 2200 Park Bend Dr, Bldg 1, Suite 201, Austin, TX 78758-5387 | 2014-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124429923 | Dhruve Satish Jeevan | Neurological Surgery | 12319 N Mopac Expy Ste 150, Austin, TX 78758-2648 | 2014-09-11 |
| 1861783144 | Alexa Bodman | Neurological Surgery | 3000 N Ih 35 Ste 600, Austin, TX 78705-1850 | 2011-04-21 |
| 1245444744 | Capital Neurosurgical Association | Neurological Surgery | 711 West 38th St, Ste D-4, Austin, TX 78705 | 2007-05-10 |
| 1528287851 | Marcella Madera | Neurological Surgery | 5656 Bee Caves Rd Bldg C Ste. 101, Austin, TX 78746 | 2007-04-25 |
| 1568584159 | Vincent Yat-chung Wang | Neurological Surgery | 1601 Trinity St Stop 704, Austin, TX 78712-1865 | 2007-04-04 |
| 1528134228 | Neurosurgical Specialists of Austin, P.a. | Neurological Surgery | 800 W 38th St, Suite 400, Austin, TX 78705-1142 | 2006-11-27 |
| 1225104995 | Ronald J Wilson | Neurological Surgery | 801 W 38th St Ste 400, Austin, TX 78705-1167 | 2006-11-27 |
| 1003834680 | James Rose | Neurological Surgery | 1400 N Ih 35 Ste 300, Austin, TX 78701-1926 | 2006-07-18 |
| 1013983121 | Gordon Leroy White | Neurological Surgery | 1600 W 38th Street, Suite 418, Austin, TX 78731-6407 | 2006-02-28 |
| 1285605196 | William Blaisedale Betts | Neurological Surgery | 3218 Park Hills Dr, Austin, TX 78746-5573 | 2006-01-30 |
| Find all providers in AUSTIN | ||||
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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.