K Jean Joviak MD PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

K JEAN JOVIAK MD PA

Practice address

860 S Village Dr N
105
St Petersburg, FL 33716-3024

Phone

(352) 239-4659

Fax

(352) 237-4055

NPI assigned

Jul 24, 2007

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karla Jean Joviak, MD

Title

President/MD

Phone

(352) 239-4659

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1205036555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770584",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344770584",
            "telephone_number": "352-239-4659",
            "fax_number": "352-237-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S VILLAGE DR N",
            "address_2": "105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163024",
            "telephone_number": "352-239-4659",
            "fax_number": "352-237-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K JEAN JOVIAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "JOVIAK",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "352-239-4659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1792714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080108978",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62326",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "961280",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045854600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0105204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.