Active NPI
David Reuel Navorska, DO
- Family Medicine Physician
- Fort Campbell, KY
National Provider Identifier
1457329385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1166
- Practice address
- Aafmh
650 Joel Drive
Fort Campbell, KY 42223-3563 - Phone
- (270) 956-0077
- Fax
- (865) 647-3369
- NPI assigned
- Mar 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1166 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 1166 | TN |
Addresses
Primary practice location
Aafmh
650 Joel Drive
Fort Campbell, KY 42223-3563
Mailing address
550 Town Creek Rd E
Suite 204
Lenoir City, TN 37772-6289
Phone (865) 647-3360
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5082544 | Other | TN | AETNA |
| P00233206 | Other | TN | MEDICARE - RAILROAD |
| 3766580 | Other | TN | CIGNA |
| 100010271 | Other | TN | PHP TNCARE |
| 4108906 | Other | TN | BCBS |
| 602004441 | Other | TN | CARITEN |
| 3304732 | Medicaid | TN | |
| 3704598 | Medicaid | TN | |
| TN0145 | Other | TN | UHC/JD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1166 | TN | MD | Family Medicine Physician |
| 1166 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| East Tennessee Women's Care, PC | Past | Accepting new patients | |
| Health Ventures, Inc | Past | Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
423 Medical Park Dr
Ste 600
Lenoir City, TN 37772
Phone (865) 271-6650
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
dba Southest Gynecologic Oncology Associates
- Specialist
- Knoxville, TN
- NPI 1457574345
-
- Primary Care Clinic/Center
- Knoxville, TN
- NPI 1558563262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1457329385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 TOWN CREEK RD E",
"address_2": "SUITE 204",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726289",
"telephone_number": "865-647-3360",
"fax_number": "865-647-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AAFMH",
"address_2": "650 JOEL DRIVE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422233563",
"telephone_number": "270-956-0077",
"fax_number": "865-647-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVORSKA",
"first_name": "DAVID",
"middle_name": "REUEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO1166",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "1166",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5082544",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RAILROAD",
"identifier": "P00233206",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3766580",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TNCARE",
"identifier": "100010271",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4108906",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARITEN",
"identifier": "602004441",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3304732",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3704598",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/JD",
"identifier": "TN0145",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.