JOVAN VASILIJA POPOVICH (NPI# 1396384707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396384707 |
| Entity Type | Individual |
| Full Name | JOVAN VASILIJA POPOVICH |
| Practice Address |
300 Jubilee Dr Peabody MA 01960-4068 |
| Mailing Address |
31328 Louise Dr Warren MI 48088-2018 |
| Practice Telephone | 8773419606 |
| Mailing Telephone | 5868633081 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601009563 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649206822 | Jovan Popovich | Internal Medicine | 6560 Fannin St, Scurlock Tower, Suite 400, Houston, TX 77030-2761 | 2006-06-23 |
| Street Address |
300 JUBILEE DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568835353 | Sarah Ashley Wroclawski | Nurse Practitioner | 300 Jubilee Dr, Peabody, MA 01960-4030 | 2015-11-03 |
| 1740788900 | Sarah Houlton Sapio | Nurse Practitioner | 300 Jubilee Dr, Peabody, MA 01960-4030 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457746182 | Sarah Rizzo | Physician Assistant | 15 Antonio Dr, Peabody, MA 01960-4954 | 2015-03-31 |
| 1114134442 | Kathryn Courtney Luck | Physician Assistant | Lahey Medical Center, Peabody, 1 Essex Center Drive, Peabody, MA 01960-2901 | 2007-05-17 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1427612829 | Kate Rudolph | Physician Assistant | 4 Centennial Dr, Ste 201, Peabody, MA 01960-7930 | 2019-05-01 |
| 1093226870 | Andrew Shaheen | Physician Assistant | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2017-10-19 |
| 1548653801 | Edward O'reilly | Physician Assistant | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2015-03-11 |
| 1528468121 | Kyle Williams | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2014-09-02 |
| 1952742975 | Jared Polansky | Physician Assistant | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2013-07-08 |
| 1942586524 | Demetrios Valeras | Physician Assistant | 1 Orthopedics Dr, Peabody, MA 01960-1668 | 2011-10-27 |
| 1174801369 | Casey M Gavin | Physician Assistant | 1 Orthopedics Dr, 2nd Floor, Peabody, MA 01960-1668 | 2011-07-22 |
| Find all providers in PEABODY | ||||
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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.