DR. JOHN RUSSELL HOVERMAN (NPI# 1508808494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508808494 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSELL HOVERMAN |
| Credential | M.D., PH.D. |
| Practice Address |
6204 Balcones Dr Austin TX 78731-4214 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 5123021771 |
| Practice Fax Number | 5123029774 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E9704 | TX | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
E9704 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS OF TX | 8R1469 | 01 |
| Street Address |
6204 BALCONES DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019571 | Kimberly M Brown | Surgery | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-01-27 |
| 1790338010 | Camille Fisher | Genetic Counselor, MS | 6204 Balcones Dr, Austin, TX 78731-4214 | 2019-07-17 |
| 1972918019 | Elizabeth Gorrick | Physician Assistant | 6204 Balcones Dr, Austin, TX 78731-4214 | 2014-06-27 |
| 1568722312 | Priyanka Kamath | Obstetrics & Gynecology | 6204 Balcones Dr, Austin, TX 78731-4214 | 2012-05-25 |
| 1699044099 | Gayle Simpson Patel | Genetic Counselor, MS | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-12-14 |
| 1073897096 | Svetlana Zolotukhina | Nurse Practitioner | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-10-10 |
| 1578845152 | Sabrina Mikan | Clinical Nurse Specialist | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-09-09 |
| 1851620116 | Kathryn Ashley Martin | Nurse Practitioner | 6204 Balcones Dr, Austin, TX 78731-4214 | 2009-12-16 |
| 1669700803 | Donna Elizabeth Preble | Clinical Nurse Specialist | 6204 Balcones Dr, Austin, TX 78731-4214 | 2009-11-30 |
| 1194987776 | Kathryn E Hudson | Internal Medicine | 6204 Balcones Dr, Austin, TX 78731-4214 | 2008-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205079373 | Andrae Lavon Vandross | Internal Medicine | 12221 Renfert Way, Suite 120 and 300, Austin, TX 78758 | 2009-04-19 |
| 1982661674 | Shubhada S. Shrikhande | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758-5453 | 2006-04-27 |
| 1134186166 | Rene Castillo | Internal Medicine | 901 West 38th St., Suite 200, Austin, TX 78705-1165 | 2006-04-26 |
| 1124089412 | Christopher Owen Ruud | Internal Medicine | 901 W 38th St Ste 200, Austin, TX 78705-1165 | 2006-03-28 |
| 1215912076 | Uri M Mintz | Internal Medicine | 11044 Research Blvd, D400, Austin, TX 78759-5263 | 2005-12-14 |
| 1477815249 | Tara Kaufmann | Internal Medicine | 1601 Trinity St, Austin, TX 78712-1765 | 2012-06-08 |
| 1104153592 | Austin Diagnostic Clinic, Pa | Internal Medicine | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2009-11-06 |
| 1972770303 | Texas Oncology Pa | Internal Medicine | 4101 James Casey St, Suite 100, Austin, TX 78745-3325 | 2008-05-14 |
| 1164502423 | Mamta Kalidas | Internal Medicine | 12221 N Mo Pac Expy, Austin, TX 78758-2401 | 2006-10-17 |
| 1467548628 | Allison Elaine Gorrebeeck | Internal Medicine | 12221 Renfert Way Ste 300, Austin, TX 78758 | 2006-10-05 |
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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.