DR. GEORGE A STOVALL JR. (NPI# 1770533903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770533903 |
| Entity Type | Individual |
| Full Name | DR. GEORGE A STOVALL JR. |
| Credential | MD |
| Practice Address |
405 Londonderry Dr Suite 303 Waco TX 76712-7924 |
| Practice Telephone | 2543996730 |
| Practice Fax Number | 2543996738 |
| Mailing Telephone | 2543996730 |
| Mailing Fax Number | 2543996738 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
H1726 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133165410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475044 | George William Stovall | Chiropractor | 3950 3rd St N, St Petersburg, FL 33703-6123 | 2006-04-10 |
| Street Address |
405 LONDONDERRY DR SUITE 303 |
| City | WACO |
| State | TX |
| Zip Code | 76712-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561989 | Nelson D Destaffany Md Pa | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2005-10-11 |
| 1205349933 | Srijana Dhakal | Nurse Practitioner | 405 Londonderry Dr, Waco, TX 76712-7924 | 2017-11-16 |
| 1518215094 | Heather Mccall | Physician Assistant | 405 Londonderry Dr, Suite 301, Waco, TX 76712-7924 | 2012-08-15 |
| 1538423850 | Heather L. Braun | Physician Assistant | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2012-07-02 |
| 1528220381 | Silvana Y.pauls Al-chaderchi | Pediatrics | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2008-07-01 |
| 1295908747 | Denise Klaras Mcleod | Audiologist | 405 Londonderry Dr, Suite 100, Waco, TX 76712-7924 | 2008-04-04 |
| 1760675060 | Florence Amoro | Pediatrics | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2007-08-21 |
| 1104016161 | Gary W Fischer, Md Pa | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2007-07-26 |
| 1689878258 | Roger Chad Hendricks | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2007-06-14 |
| 1881898666 | Richard Earle Helmer Iv | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 Londonderry Dr, Suite 301, Waco, TX 76712 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1649497900 | Christina Anne Levings | Internal Medicine | 364 Richland West Cir Ste A, Waco, TX 76712-7919 | 2007-04-19 |
| 1881790970 | Dan William Bell | Internal Medicine | 405 Londonderry Dr Ste 302, Waco, TX 76712-7922 | 2006-09-15 |
| 1992755128 | Hari B Ancha | Internal Medicine | 364 Richland West Cir, Waco, TX 76712-7919 | 2006-05-10 |
| 1083057814 | Charles Benjamin Rives | Internal Medicine | 364 Richland West Cir Ste A, Waco, TX 76712-7919 | 2013-04-11 |
| 1710140272 | Hanumantha Rao Ancha | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2008-07-04 |
| 1720179203 | Bryan Hanysak | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-09-27 |
| 1811934136 | Thomas F Eastwood | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-06-02 |
| 1164469482 | James W Boss | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-06-02 |
| 1316997927 | Phillip H Reeder | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-05-12 |
| 1306896840 | Edward D Carpenter | Internal Medicine | 364 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-05-12 |
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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.