Individual provider Active NPI

David Reuel Navorska, DO

  • Family Medicine Physician
  • Fort Campbell, KY
National Provider Identifier
1457329385
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1166 Issued in TN
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

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5082544OtherTNAETNA
P00233206OtherTNMEDICARE - RAILROAD
3766580OtherTNCIGNA
100010271OtherTNPHP TNCARE
4108906OtherTNBCBS
602004441OtherTNCARITEN
3304732MedicaidTN
3704598MedicaidTN
TN0145OtherTNUHC/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000436 TN Practitioner - Family Practice 4385680818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1166TNMDFamily Medicine Physician
1166TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Jul 14, 2008 Accepting new patients
Covenant Medical Group, Inc CurrentSince Jul 14, 2008 Accepting new patients
East Tennessee Women's Care, PC Past Accepting new patients
Health Ventures, Inc PastSince Jan 1, 2013 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.

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

Verify at the official NPI Registry.