The Good Doctor, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001581A Issued in IN

Legal business name

THE GOOD DOCTOR, P.C.

Practice address

952 S Court St
Crown Point, IN 46307-4848

Phone

(219) 226-0650

Fax

(219) 226-0618

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Troy W Stovall, D.O.

Title

Physician

Phone

(219) 365-5405

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1124166038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8126 PULASKI ST",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752531",
            "telephone_number": "219-365-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 S COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463074848",
            "telephone_number": "219-226-0650",
            "fax_number": "219-226-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD DOCTOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-365-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001581A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100464880B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.