Active NPI
John Richard Hovious III, M.D.
- Pediatrics Physician
- Bristol, TN
National Provider Identifier
1811994981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0000013744
- Practice address
- 109 Meadow View Road
Suite 7
Bristol, TN 37620-1661 - Phone
- (423) 652-1655
- Fax
- (423) 652-7668
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0000013744 | TN | Primary |
Addresses
Primary practice location
109 Meadow View Road
Suite 7
Bristol, TN 37620-1661
Mailing address
109 Meadow View Road
Suite 7
Bristol, TN 37620-1661
Phone (423) 652-1655
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000013744 | Other | TN | MEDICAL LICENSE NUMBER |
| 006725198 | Medicaid | VA | |
| 096148 | Other | VA | ANTHEM |
| 3045396 | Medicaid | TN | |
| 44D0672628 | Other | TN | CLIA NUMBER |
| 71056376201 | Other | TN | JOHN DEERE |
| 110289 | Other | TN | BLUECROSS/BLUESHIELD TENN |
| 4531227 | Other | TN | AETNA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000435 | TN | Practitioner - Pediatric Medicine | 0143404350 | Practice locations: Bristol, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000013744 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1811994981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MEADOW VIEW ROAD",
"address_2": "SUITE 7",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201661",
"telephone_number": "423-652-1655",
"fax_number": "423-652-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MEADOW VIEW ROAD",
"address_2": "SUITE 7",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201661",
"telephone_number": "423-652-1655",
"fax_number": "423-652-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOVIOUS",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "0000013744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "0000013744",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006725198",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "096148",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3045396",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "44D0672628",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "71056376201",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD TENN",
"identifier": "110289",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4531227",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.