K JEAN JOVIAK MD PA (NPI# 1205036555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205036555 |
| Entity Type | Organization |
| Organization Name | K JEAN JOVIAK MD PA |
| Practice Address |
860 S Village Dr N 105 St Petersburg FL 33716-3024 |
| Mailing Address |
Po Box 770584 Ocala FL 34477-0584 |
| Practice Telephone | 3522394659 |
| Practice Fax Number | 3522374055 |
| Mailing Telephone | 3522394659 |
| Mailing Fax Number | 3522374055 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | DR. KARLA JEAN JOVIAK (PRESIDENT/MD) |
| Authorized Official Telephone | 3522394659 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1792714 | 01 |
| FL | AETNA | 961280 | 01 |
| FL | 045854600 | 05 | |
| FL | UNITED | 0105204 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 62326 | 01 |
| FL | RAILROAD MEDICARE | 080108978 | 01 |
| Street Address |
860 S VILLAGE DR N 105 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801109889 | Medical Specialty Clinics LLC | Clinic/Center | 860 S Village Dr N, 105, St Petersburg, FL 33716-3024 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164836797 | Pinellas Health & Wellness, LLC | Family Medicine | 222 2nd St N, St Petersburg, FL 33701-3314 | 2014-06-11 |
| 1306111737 | Norval Mason Marr Jr. | Family Medicine | 501 Coffee Pot Riviera Ne, St Petersburg, FL 33704-3617 | 2012-03-19 |
| 1932298411 | Margaret Teresa Nusca | Family Medicine | 690 4th Ave S, St Petersburg, FL 33701 | 2006-10-12 |
| 1851344485 | John E Kern | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2006-05-17 |
| 1811498652 | Tampa Bay Hospitalists LLC | Family Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2018-02-27 |
| 1932598349 | Clear Path Center Pa | Family Medicine | 3177 4th St N, St Petersburg, FL 33704-2124 | 2015-01-22 |
| 1427394303 | Capital Medical Group, LLC | Family Medicine | 5985 49th St N, St Petersburg, FL 33709-2111 | 2012-12-20 |
| 1821396151 | Robert Jennings Wallace | Family Medicine | 3000 1st Ave N, St Petersburg, FL 33713-8607 | 2011-03-10 |
| 1003116625 | John E Kern Do Pa | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2010-10-29 |
| 1760625099 | Gregory W. Nestor, Md, LLC | Family Medicine | 7655 38th Ave N, Suite 202, St Petersburg, FL 33710-1263 | 2009-04-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on K JEAN JOVIAK MD PA.
| 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.