DR. KRISTEN BROOKE GOVERT (NPI# 1497042071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497042071 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN BROOKE GOVERT |
| Credential | MD |
| Practice Address |
13450 N Meridian St # 135 Carmel IN 46032-1546 |
| Mailing Address |
Po Box 12812 Belfast ME 04915-4040 |
| Practice Telephone | 3175829355 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 01078778A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
01078778A | IN | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
2016-01400 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1497042071 | 05 | |
| SC | NC2825 | 05 |
| Street Address |
13450 N MERIDIAN ST # 135 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992334379 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 | 2020-04-07 |
| 1306348610 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 | 2018-03-02 |
| 1649789561 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Avenue, Bldg. 627, Suite 126, Carmel, NY 10512 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366544868 | Rhys Thomas Schmidt IIi | Surgery | 8240 Naab Rd Ste 320, Indianapolis, IN 46260-1987 | 2006-09-04 |
| 1295005395 | Neal Agee | Surgery | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2012-01-05 |
| 1871892208 | Fiona Noelle Denham | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-03-24 |
| 1861625709 | St. Francis Hospital and Health Centers | Surgery | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2009-08-26 |
| 1437399987 | Jeremy Lee Davis | Surgery | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2009-02-24 |
| 1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
| 1528232451 | Michael G House | Surgery | 550 N University Blvd., Suite 1295, Indianapolis, IN 46202-5149 | 2008-04-22 |
| 1073703260 | Timothy A Goedde Md PC | Surgery | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2007-07-25 |
| 1477505071 | Mary A Maluccio | Surgery | 550 University Blvd, Uh4601, Indianapolis, IN 46202-5149 | 2006-05-16 |
| 1992704449 | Leonard R Henry | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KRISTEN BROOKE GOVERT.
| 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.