JEROME DOUGLAS NOVOTNY JR. (NPI# 1386676914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386676914 |
| Entity Type | Individual |
| Full Name | JEROME DOUGLAS NOVOTNY JR. |
| Credential | M.D. |
| Practice Address |
600 E Hurst Blvd Employee Health Services Hurst TX 76053-8030 |
| Practice Telephone | 8172802188 |
| Practice Fax Number | 8172807104 |
| Mailing Telephone | 8172802188 |
| Mailing Fax Number | 8172807104 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G5436 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
600 E HURST BLVD EMPLOYEE HEALTH SERVICES |
| City | HURST |
| State | TX |
| Zip Code | 76053-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449933 | Areli Nunez | Physical Therapy Assistant | 304 Willow St, Hurst, TX 76053 | 2018-09-01 |
| 1043737778 | Sarah Renee Sarmiento | Occupational Therapy Assistant | 305 Ne Loop 820 Suite 209, Hurst, TX 76053 | 2017-08-23 |
| 1689026676 | Knee Coaster, LLC | Durable Medical Equipment & Medical Supplies | 1675 Sotogrande Blvd, 202, Hurst, TX 76053 | 2016-07-01 |
| 1053769836 | National Vision, Inc. | Technician/Technologist | 732 West Pipeline Rd, Hurst, TX 76053 | 2016-06-02 |
| 1902269038 | Martha De La Cruz-rodriguez | Specialist/Technologist | 305 Ne Loop 820 Business, Tower 1 Suite 200, Hurst, TX 76053 | 2016-04-05 |
| 1427420249 | Carol R. Wadsworth | Psychologist | 700 Ne Loop 820 Ste 200a, Hurst, TX 76053 | 2015-10-21 |
| 1972984623 | Sara Khalid Mahmood | Dentist | 800 Forest Oaks Ln Ste A, Hurst, TX 76053 | 2015-06-17 |
| 1306230073 | Sachenka Rivas | Speech-Language Pathologist | 305 Ne Loop 820,business Tower 1, Suite 200, Hurst, TX 76053 | 2015-03-20 |
| 1760873954 | Marcy Ann Fuentes | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1, Suite 200, Hurst, TX 76053 | 2015-02-10 |
| 1588062632 | Carolina Talancon | Specialist/Technologist | 305 Ne Loop 820;, Business Tower 1, Suite 200;, Hurst, TX 76053 | 2014-12-05 |
| Find all providers in zip 76053 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841562964 | Aubrey Elton Guthrie II | Family Medicine | 3235 River Bend Dr, Hurst, TX 76054-1900 | 2012-02-05 |
| 1558684381 | Mary Ann Block | Family Medicine | 1750 Norwood Dr, Hurst, TX 76054-3600 | 2010-03-08 |
| 1710071592 | Christopher Schlottmann | Family Medicine | 779 Grapevine Hwy, Hurst, TX 76054-2805 | 2006-10-03 |
| 1568480457 | Robert Alfred Strzinek | Family Medicine | 1725 Chadwick Ct, Suite 100, Hurst, TX 76054-3337 | 2006-07-18 |
| 1508884099 | Daisy Thomas-gobalakrishna | Family Medicine | 400 Mid Cities Blvd, Hurst, TX 76054-2430 | 2006-07-17 |
| 1730162645 | Charmaine R Lobo | Family Medicine | 1709 Precinct Line Rd, Hurst, TX 76054-3131 | 2005-11-23 |
| 1205482908 | Sharon Anne Talbert | Family Medicine | 1717 Precinct Line Rd Ste 200, Hurst, TX 76054-3197 | 2019-08-18 |
| 1447619549 | Hurst Total Care Pa | Family Medicine | 400 Mid Cities Blvd, Hurst, TX 76054-2430 | 2016-02-17 |
| 1396128328 | Texas Pain Relief Group Pllc | Family Medicine | 1717 Precinct Line Rd, Suite 200, Hurst, TX 76054-3169 | 2015-07-08 |
| 1770913592 | Baze Medical Pllc | Family Medicine | 1709 Precinct Line Rd, Hurst, TX 76054-3131 | 2013-11-14 |
| Find all providers in HURST | ||||
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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.