DR. JOHN ALBERT INDOVINA JR. (NPI# 1255420758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255420758 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALBERT INDOVINA JR. |
| Credential | M.D. |
| Practice Address |
15225 Highway 43 Ste B-1 Russellville AL 35653-1999 |
| Practice Telephone | 2563328658 |
| Mailing Telephone | (256) 332-8658 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD28281 | AL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD021449 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1987662 | 05 | |
| AL | 009913354 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42561 Brown Rd, Ponchatoula, LA 704545247 | 3344124533 |
| Street Address |
15225 HIGHWAY 43 STE B-1 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245568765 | Leonides V Santos PC | Surgery | 201 Jackson Ave S, Russellville, AL 35653-2233 | 2009-11-20 |
| 1134295124 | Thomas W Unruh | Surgery | 1623 Nashville St Ste 106, Russellville, KY 42276-8889 | 2006-11-28 |
| 1124115720 | Leonides V Santos | Surgery | 201 South Jackson Avenue, Russellville, AL 35653 | 2006-10-06 |
| 1275587552 | Jeffrey Derrick Manord | Surgery | 15225 Highway 43 Ste D, Russellville, AL 35653-1969 | 2006-05-20 |
| 1194788794 | James Mark Myers | Surgery | 1808 West Main St, Russellville, AR 72801 | 2006-04-07 |
| 1659712594 | Russellville Physician Practices LLC | Surgery | 15225 Highway 43, Suite I, Russellville, AL 35653-1999 | 2013-07-08 |
| 1528377983 | Russellville Physician Practices LLC | Surgery | 523 Gandy St Ne, Suite E, Russellville, AL 35653-1961 | 2010-10-04 |
| 1770771578 | Southern Surgical Consultants, LLC | Surgery | 1623 Nashville St, Suite 206, Russellville, KY 42276-8889 | 2007-10-06 |
| 1750508545 | Myers Professional Medical Services | Surgery | 1808 W Main St, Russellville, AR 72801-2724 | 2007-04-20 |
| 1033216270 | Adam Ellis, Md, Pllc | Surgery | 1623 Nashville St, Suite 106, Russellville, KY 42276-8889 | 2006-09-20 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
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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.