Kevin M Stancoven, D.O.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

N5415 Issued in TX

Practice address

201 Seton Parkway
Seton Medical Center Williamson
Round Rock, TX 78665

Phone

(512) 814-0298

Fax

(512) 597-2713

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

University of North Texas HSC, College of Osteopathic Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brazos Valley Pathology, PLLCGroup PAC ID 8426046061, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
• Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brazos Valley Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1629094651
  Medicare reassignment Care Compare group NPD
• Brazos Valley Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • College Station, TX
  • NPI 1457535957
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation
• Ascension Seton

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Cedar Park Health System LLC

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation
• HH Killeen Health System LLC

  • General Acute Care Hospital
  • Harker Heights, TX
  • NPI 1841562709
  Care Compare affiliation
• Metroplex Adventist Hospital Inc

  • General Acute Care Hospital
  • Killeen, TX
  • NPI 1629089966
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1104034164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2386",
            "address_2": "BRAZOS VALLEY PATHOLOGY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "972-489-0201",
            "fax_number": "512-597-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SETON PARKWAY",
            "address_2": "SETON MEDICAL CENTER WILLIAMSON",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-814-0298",
            "fax_number": "512-597-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCOVEN",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "N5415",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866683",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB132498",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Staas, LPC
• Ashley Blu Staats, PHD
• Brenda Lee Stady, MED
• Sacha Staford
• Amy Butler Stancoven, MD
• Dawson Stanley
• Grace Stanley, M.D.
• Catherine Contee Stansbury, LCSW
• Rhonda K Stanton, BS, OT
• Bryn Starbird

• Anatomic Pathology & Clinical Pathology Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.