JEREMY LOUIS STOVER


Address: 55101 Marvin Shields Blvd, Gulfport, MS 39501
Phone: 2282290411

JEREMY LOUIS STOVER (NPI# 1104006246) 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) 1104006246
Entity Type Individual
Full Name JEREMY LOUIS STOVER
Credential IDC
Practice Address 55101 Marvin Shields Blvd
Gulfport
MS 39501
Practice Telephone 2282290411
Enumeration Date 2007-11-06
Last Update Date 2007-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers JEREMY STOVER

NPI Name Taxonomy Address Enumeration
1649558198 Jeremy J Stover Chiropractor 2328 Main St, Parsons, KS 67357-2724 2011-08-02

Office Location

Street Address 55101 MARVIN SHIELDS BLVD
City GULFPORT
State MS
Zip Code 39501

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1730721374 Affinity Healthcare LLC Non-emergency Medical Transport (VAN) 1822 15th St, Suite 8, Gulfport, MS 39501 2019-10-15
1093361156 Gulf Coast Companion Care, LLC Home Health 1314 Pass Road, Ste B, Gulfport, MS 39501 2019-08-14
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
Find all providers in zip 39501

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528515046 Nicolas Riley Military Health Care Provider 5501 Marvin Shields Blvd., Gulfport, MS 39501-5007 2016-09-01
1477932200 Michael Alexander Boartfield Military Health Care Provider 4033a Mallard Cv, Gulfport, MS 39501-2833 2015-05-26
1336536531 Jeffrey Alexander Leemauk Military Health Care Provider 4010a Blue Heron Way, Gulfport, MS 39501-2815 2015-04-25
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
1427316041 Jeremiah John Baldwin Military Health Care Provider 5303 Marvin Shields Blvd, Gulfport, MS 39501-9013 2012-05-02
1245563162 Jenesia Arielle Dillow Ordonia Military Health Care Provider 3158b Holloway Dr, Gulfport, MS 39501-9030 2009-09-10
1326298795 Greg Allan Lassiter Military Health Care Provider 3110 B Seagull St, Gulfport, MS 39501 2008-09-23
1124203187 James Sheldon Burnett Military Health Care Provider Nmcb 74, Unit 60243, Gulfport, MS 34099 2008-01-08
1184830580 Sheila Lee Shipman Military Health Care Provider Nmcb Seven, Unit 60252, Gulfport, MS 34099-5061 2007-05-15
1558576702 Kevin Richard Mattos Military Health Care Provider Marvin Shields Blvd, Cbc Gulfport, Gulfport, MS 39501-0000 2007-05-11
Find all providers in GULFPORT

Competitor

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City GULFPORT
Zip Code 39501

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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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