ANDREW JOHN JUROVCIK (NPI# 1588012298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588012298 |
| Entity Type | Individual |
| Full Name | ANDREW JOHN JUROVCIK |
| Credential | D.O. |
| Practice Address |
300 Twining St Bldg 760 Maxwell Afb AL 36112-6027 |
| Practice Telephone | 3349533368 |
| Practice Fax Number | 3349538607 |
| Mailing Telephone | 3349533368 |
| Mailing Fax Number | 3349538607 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1763 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 Boatner Rd Ste 114, Eglin Afb, FL 325421302 | 8508838600 |
| Street Address |
300 TWINING ST BLDG 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690157 | Shari-jean L. V. Hafner | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-26 |
| 1306304589 | Aillen Ford | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-07 |
| 1538626254 | Jamie Nicole Wilson | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-02-28 |
| 1770066912 | Sabrina Carter | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-09-13 |
| 1437636537 | Kristine Gale Sweeney | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-07-23 |
| 1295261865 | Jennifer Renee Lewis | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2017-05-02 |
| 1811441272 | Shana Dawson | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-08-15 |
| 1578946240 | You Xu | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2015-06-30 |
| 1114309143 | Lori Dawn Carver | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2015-06-26 |
| 1891195392 | Michelle Harting | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| 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 |
|---|---|---|---|---|
| 1730174285 | Jenniffer Lynn Lapointe | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112 | 2005-09-12 |
| 1861486490 | Dale Roemer Agner | Family Medicine | 300 Twining Street, Maxwell Afb, AL 36112 | 2005-09-09 |
| 1386098192 | John N Gayk | Family Medicine | 300 Twining St # 760, Maxwell Afb, AL 36112-6027 | 2016-04-18 |
| 1699030007 | Kevin L Gray | Family Medicine | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2012-07-11 |
| 1215298245 | Ricardo Alejandro Sequeira | Family Medicine | 42d Medical Group, 300 S. Twinning St., Bldg 760, Maxwell Afb, AL 36112 | 2012-06-06 |
| 1881820413 | Melissa Runge | Family Medicine | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2009-06-10 |
| 1376705160 | Brandon C Hemphill | Family Medicine | 300 S. Twining Street, Bldg 760, 42d Medical Group, Maxwell Afb, AL 36112 | 2008-07-02 |
| 1992805394 | Brian S Pinkston | Family Medicine | 300 Twining Street, 42d Medical Group, Maxwell Afb, AL 36112 | 2006-09-25 |
| 1902890403 | Dennis Pearman | Family Medicine | 300 Twining Street, Maxwell Afb, AL 36112 | 2005-09-12 |
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| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
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| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
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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.