RICHARD B STOVALL


Address: 2200 Park Bend Dr, Bldg 2, Ste 201, Austin, TX 78758-5388
Phone: 5128358100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery K5409 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 161400002 05
TX BC/BS INDIVIDUAL 8S5890 01

Other Providers RICHARD STOVALL

NPI Name Taxonomy Address Enumeration
1326043449 Richard Loy Stovall Dentist 4151 17 Mile Rd, Ste F, Sterling Hts, MI 48310-6866 2005-06-15

Office Location

Street Address 2200 PARK BEND DR
BLDG 2, STE 201
City AUSTIN
State TX
Zip Code 78758-5388

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City AUSTIN
Zip Code 78758

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Dataset Information

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.

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