Active NPI
Steven John Havener, M.D.
- Family Medicine Physician
- Mission, TX
National Provider Identifier
1235172610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J7512
- Practice address
- 1920 E Griffin Pkwy
Mission, TX 78572-3106 - Phone
- (956) 584-3353
- Fax
- (956) 584-3253
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J7512 | TX | Primary |
Addresses
Primary practice location
1920 E Griffin Pkwy
Mission, TX 78572-3106
Mailing address
1406 Mockingbird Ave
Mission, TX 78572-4707
Phone (956) 972-0032
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1682705 | Other | TX | UNITED HEALTHCARE |
| 5306200 | Other | TX | CIGNA |
| 89W301 | Other | TX | BLUE CROSS/SHIELD |
| 118914 | Other | TX | SUPERIOR HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7512 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235172610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 MOCKINGBIRD AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724707",
"telephone_number": "956-972-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E GRIFFIN PKWY",
"city": "MISSION",
"state": "TX",
"postal_code": "785723106",
"telephone_number": "956-584-3353",
"fax_number": "956-584-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENER",
"first_name": "STEVEN",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J7512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1682705",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5306200",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD",
"identifier": "89W301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH NETWORK",
"identifier": "118914",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
- Ladonna Joan Haley, RN MS MN APN CNS PMH
- Happy Years Inc
- Harold J. Pean MD
- Waldo Brandon Harper, RDN, LD, CPT
- Rosita Hasbun, FNP
- Health and Vigor LLC
- Health Care Agency, LLC (Optimus Home Care)
- Health Com Management, LLC (Hosanna Health Care)
- Health Com Management, LLC (Allegiance Health Care)
- Healthy Heads
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.