DR. DANIEL BRUCE JOVANOVICH (NPI# 1336105949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336105949 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BRUCE JOVANOVICH |
| Credential | MD |
| Practice Address |
1711 27th St Ste 206 Portsmouth OH 45662-2669 |
| Mailing Address |
1735 27th St Waller Building, Suite B06 Portsmouth OH 45662-2677 |
| Practice Telephone | 7403568772 |
| Practice Fax Number | 7403542138 |
| Mailing Telephone | 7403566942 |
| Mailing Fax Number | 7403567851 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.092226 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3883725 | 05 | |
| KY | KENTUCKY MEDICAID | 7100058740 | 01 |
| OH | 2886597 | 05 | |
| TN | BLUE CROSS | 4063042 | 01 |
| KY | 7100058740 | 05 |
| Street Address |
1711 27TH ST STE 206 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356321442 | Jay Mohamad Hamze | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2006-01-17 |
| 1861901829 | Jade Reshea Kirkpatrick | Nurse Practitioner | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2017-09-21 |
| 1548783889 | Linda Lester | Nurse Practitioner | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2017-07-19 |
| 1720320658 | Matthew Robert Watson | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2013-03-18 |
| 1194012112 | Yousef Kalid Kaid | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662 | 2011-06-29 |
| 1740504885 | Joseph W Herrmann | Surgery | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2010-03-18 |
| 1427203652 | Tarun Nagrani | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2008-12-02 |
| 1336346808 | Marion Richard Hochstetler Jr. | Surgery | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568761716 | Jean Touchan | Internal Medicine | 73 Corporate Dr Ste 201, Portsmouth, NH 03801 | 2011-03-26 |
| 1518122779 | Whitney Coppolino | Internal Medicine | 67 Corporate Dr, Ste 200, Portsmouth, NH 03801 | 2008-07-26 |
| 1023114154 | Hullukunte Bylappa Shivaprasad | Internal Medicine | 2001 Scioto Trail, Ste 200, Portsmouth, OH 45662 | 2006-09-16 |
| 1053428862 | Robert J. Accettola | Internal Medicine | 3737 High St, Portsmouth, VA 23707-2405 | 2006-08-25 |
| 1093821027 | Sriharsha Velury | Internal Medicine | 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-5122 | 2006-08-22 |
| 1356321442 | Jay Mohamad Hamze | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2006-01-17 |
| 1205815024 | Harry J Driedger | Internal Medicine | 1870 Coles Blvd, Portsmouth, OH 45662-6900 | 2006-01-10 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1548711187 | Porsmouth Hospital Corporation | Internal Medicine | 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 2016-10-19 |
| 1427203652 | Tarun Nagrani | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2008-12-02 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.