DR. DEBORAH R HAJOVSKY (NPI# 1508822511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508822511 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH R HAJOVSKY |
| Credential | MD |
| Practice Address |
3605 Executive Dr San Angelo TX 76904-6884 |
| Practice Telephone | 3259499555 |
| Mailing Telephone | 3259499555 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | H9972 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS/BLUE SHIELD TX | 84051F | 01 |
| TX | 123650703 | 05 |
| Street Address |
3605 EXECUTIVE DR |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-6884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716264 | San Angelo Ambulatory Surgery Center | Clinic/Center | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2005-11-08 |
| 1497233134 | Brittney Hughes | Specialist/Technologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2018-08-03 |
| 1275954232 | Michael Matthews | Physician Assistant | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2013-12-18 |
| 1326384553 | Soheil Daftarian | Ophthalmology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-12-16 |
| 1134463300 | Melissa Mcarthur | Audiologist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-11-12 |
| 1134472509 | Kayla Joy Gibbs | Nurse Practitioner | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-10-22 |
| 1124383567 | Michael Keesey Boyd | Surgery | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2012-07-11 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1427297506 | Jennifer D Slaven | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2009-02-12 |
| 1144485756 | West Texas Medical Associates | Family Medicine | 3605 Executive Dr, San Angelo, TX 76904 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508019993 | Jennifer M Moss | Obstetrics & Gynecology | 3019 Green Meadow Dr, San Angelo, TX 76904-6975 | 2008-10-29 |
| 1356502488 | Genevieve P. Mejia | Obstetrics & Gynecology | 220 East Harris, San Angelo, TX 76903 | 2008-06-20 |
| 1942283551 | Kelly W Wilson | Obstetrics & Gynecology | 220 East Harris Avenue, San Angelo, TX 76903 | 2005-11-29 |
| 1972766715 | Jacob David Ornelas | Obstetrics & Gynecology | 220 E. Harris, San Angelo, TX 76903 | 2008-07-02 |
| 1255523114 | Jenny Marie Wiggins-smith | Obstetrics & Gynecology | 220 E. Harris, San Angelo, TX 76903 | 2007-08-15 |
| 1538274766 | Charles D Harzke | Obstetrics & Gynecology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-08-20 |
| 1982647442 | Orrin Sterling Gillis | Obstetrics & Gynecology | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-06-13 |
| 1770545386 | Clyde Henke | Obstetrics & Gynecology | 3501 Knickerbocker Rd, Williams Family Center, San Angelo, TX 76904-7610 | 2006-04-06 |
| 1851353478 | William Cravy | Obstetrics & Gynecology | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2006-04-06 |
| 1033171152 | Rosalinda Carrizales | Obstetrics & Gynecology | 3501 Knickerbocker Rd, Williams Family Center, 2nd Floor, San Angelo, TX 76904-7610 | 2006-04-04 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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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.