Richard Stovall MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

K5409 Issued in TX

Legal business name

RICHARD STOVALL MD PA

Doing business as

Neurosurgical Associates of Austin

Practice address

2200 Park Bend Dr
BLDG 2, Ste 201
Austin, TX 78758-5388

Phone

(512) 835-8100

Fax

(512) 835-8101

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mandy Lynn Ontiveros

Title

Office Manager

Phone

(512) 835-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Neurosurgical Associates of Austin Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1114004462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25887",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731250887",
            "telephone_number": "512-835-8100",
            "fax_number": "512-835-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR",
            "address_2": "BLDG 2, STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585388",
            "telephone_number": "512-835-8100",
            "fax_number": "512-835-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD STOVALL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-835-8100"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "K5409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0098MS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175502701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical Associates of Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard B Briggs MD
• Richard B Briggs MD PA (Briggs Eye Clinic)
• Richard D. Grant, Jr., PH.D., P.C.
• Richard E. King D.D.S. P.a.
• Richard O Temple PHD PLLC (Mind For Sports)
• Richard W. Berry M.D.
• Andrea Lauren Richard, PT
• Kylie Richard
• Analiza Richards
• Andrea M Richards, OT

• Neurological Surgery Physician in Austin, TX
• Providers in Austin, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.