MEDICARE: DAVID REUEL NAVORSKA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	DO1166	TN
2	207R00000X	Internal Medicine Physician	1166	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00233206	OTHER	TN	MEDICARE - RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5082544	OTHER	TN	AETNA
3	3766580	OTHER	TN	CIGNA
4	100010271	OTHER	TN	PHP TNCARE
5	4108906	OTHER	TN	BCBS
6	602004441	OTHER	TN	CARITEN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	TN0145	OTHER	TN	UHC/JD

General Provider Information

NPI Number	:	1457329385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID REUEL NAVORSKA DO

Provider Business Mailing Address
First Line	:	550 TOWN CREEK RD E
Second Line	:	SUITE 204
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-6289
Country	:	US
Telephone Number	:	865-647-3360
Fax Number	:	865-647-3369

Provider Business Practice Location Address
First Line	:	AAFMH
Second Line	:	650 JOEL DRIVE
City	:	FORT CAMPBELL
State	:	KY
Zip	:	42223-3563
Country	:	US
Telephone Number	:	270-956-0077
Fax Number	:	865-647-3369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	08/07/2018

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Directions to “ DAVID REUEL NAVORSKA DO” Practice Location

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