JON C SIVORAVONG (NPI# 1770545238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770545238 |
| Entity Type | Individual |
| Full Name | JON C SIVORAVONG |
| Credential | DO |
| Practice Address |
811 E Parrish Ave Owensboro KY 42303 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706918040 |
| Practice Fax Number | 2706918049 |
| Mailing Telephone | 2706918070 |
| Mailing Fax Number | 2706918026 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04419 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | J6729 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300021015 | 05 | |
| TX | BCBS | 847571 | 01 |
| TX | 124874202 | 05 | |
| KY | 7100572080 | 05 | |
| TX | RAILROAD MEDICARE | 080112014 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 811 E Parrish Ave, Owensboro, KY 42303 | 2706918040 | 2706918049 |
| Street Address |
811 E PARRISH AVE |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948250 | Donna L Sublett | Nurse Practitioner | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2005-08-02 |
| 1255956066 | Hayat Itani | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-06-08 |
| 1487283396 | Suheung Lee | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-04-02 |
| 1356979249 | Daniel Robert Meis | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2020-03-28 |
| 1811474067 | Samantha A Payne | Nurse Practitioner | 811 E Parrish Ave, Owensboro, KY 42303 | 2018-07-20 |
| 1649701251 | Hamed Haghnazar | Student in an Organized Health Care Education/Training Program | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2017-03-24 |
| 1093251548 | Owensboro Health Medical Group, Inc. | Family Medicine | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2017-01-09 |
| 1497113955 | Melissa Gaither | Dietitian, Registered | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2016-01-29 |
| 1962817122 | Owl Emergency Physicians LLC | Physician Assistant | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2014-06-26 |
| 1376882563 | Jerry Allen Bradley Jr. | Family Medicine | 811 E Parrish Ave, Owensboro, KY 42303-3258 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1972140911 | E.d. Mills, Pllc | Family Medicine | 722 W Byers Ave, Owensboro, KY 42303-6330 | 2019-12-10 |
| 1194360578 | Alex Jolly | Family Medicine | 425 E 20th St, Owensboro, KY 42303-3804 | 2019-11-09 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
| 1023415601 | Jones Medical Corp Dba Bridgewater Medical Center | Family Medicine | 750 Salem Drive, Owensboro, KY 42303 | 2014-11-26 |
| 1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
| 1861631947 | John A Walker II | Family Medicine | 1000 Breckenridge St Ste 401, Owensboro, KY 42303-0878 | 2009-02-12 |
| 1033276225 | Fred Thomas Tuttle | Family Medicine | 4106 Mason Woods Ln, Owensboro, KY 42303-7552 | 2007-01-03 |
| 1386739464 | Tamberly L Mccoy | Family Medicine | 2816 Veach Rd Ste 308, Owensboro, KY 42303-6297 | 2006-10-04 |
| Find all providers in OWENSBORO | ||||
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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.