Jovana Rehabilitation Medicine & Pain PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JOVANA REHABILITATION MEDICINE & PAIN PLLC

Practice address

6502 Bandera Rd Ste 102
San Antonio, TX 78238-1445

Phone

(210) 474-6788

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Ivan Edwards, DONPI 1700955176

Title

Owner

Phone

(210) 474-6788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Edwards, D.O.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
  • NPI 1700955176
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1497288443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-474-6788",
            "fax_number": "210-571-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-474-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVANA REHABILITATION MEDICINE & PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-474-6788",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jovalde Inc
• Mikayla Jovanovich
• Gianna Nicole Jove, MA
• Sousan Jowlaei, FNP-C
• Joy Learning Center
• Christine E. Joy, MD

• Physical Medicine & Rehabilitation Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.

Verify at the official NPI Registry.