JON C SIVORAVONG DO NPI 1770545238

NPI Information

  • NPI: 1770545238
  • Provider Name: JON C SIVORAVONG, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 811 E PARRISH AVE
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 691-8040

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NPI Details

Jon C Sivoravong, DO is a family medicine in Owensboro, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jon C Sivoravong, DO NPI is 1770545238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

811 E PARRISH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 691-8040
Fax: (270) 691-8049

The NPI 1770545238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineJ6729TEXASNo
2207Q00000XFamily Medicine04419KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1124874202MEDICAIDTEXAS
2300021015MEDICAIDINDIANA
37100572080MEDICAIDKENTUCKY
4080112014OTHERTEXASRAILROAD MEDICARE
5847571OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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