Active NPI
Robert L. Hovancsek, D.P.M. PS
- Podiatrist
- Aberdeen, WA
National Provider Identifier
1396928263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000531
- Legal business name
- ROBERT L. HOVANCSEK, D.P.M. PS
- Practice address
- 2218 Simpson Ave
Aberdeen, WA 98520-3514 - Phone
- (360) 533-4344
- Fax
- (360) 533-4755
- NPI assigned
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Louis Hovancsek, DPM
- Title
- Owner/President
- Phone
- (360) 533-4344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO00000531 | OH | Primary |
Addresses
Primary practice location
2218 Simpson Ave
Aberdeen, WA 98520-3514
Mailing address
2218 Simpson Ave
Aberdeen, WA 98520-3514
Phone (360) 533-4344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51866 | Other | WA | LABOR & INDUSTRIES |
| H07445 | Other | WA | REGENCE BLUE SHIELD |
| 1089119 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2218 Simpson Ave
Aberdeen, WA 98520
Phone (206) 533-4344
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Aberdeen, WA
- NPI 1508868167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1396928263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 SIMPSON AVE",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985203514",
"telephone_number": "360-533-4344",
"fax_number": "360-533-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 SIMPSON AVE",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985203514",
"telephone_number": "360-533-4344",
"fax_number": "360-533-4755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L. HOVANCSEK, D.P.M. PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "HOVANCSEK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "360-533-4344",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "OH",
"license": "PO00000531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "51866",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "H07445",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1089119",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.