JACK STOVER MD
NPI 1750022380
Student in an Organized Health Care Education/Training Program in Houston, TX

Q: What is Jack Stover's NPI number?

The NPI number for Jack Stover is 1750022380. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Jack Stover's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Stover was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2022PECOS Enrolled

1515 HOLCOMBE BLVD, HOUSTON, TX 77030(712) 792-6072 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jack Stover Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK STOVER MD (NPI 1750022380) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Clara.

NPPES Registry Identity

NPI1750022380

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACK STOVERCredential: MD

Location Address1515 HOLCOMBE BLVDHouston, TX 77030-4000

Mailing Address1911 Holcombe Blvd Apt 1232Houston, TX 77030-4188 · (810) 845-6794

Phone(712) 792-6072

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1750022380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1515 HOLCOMBE BLVD, Houston, TX 77030

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Secondary Practice Location 1

Location 1710 Lawrence Expy Dept 384Santa Clara, CA 95051-5173 · Phone (408) 851-3830

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Stover Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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