Provider Demographics
NPI:1689676108
Name:JOVEN, JOHN N (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:N
Last Name:JOVEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 W WHITE RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-5251
Mailing Address - Country:US
Mailing Address - Phone:657-747-3888
Mailing Address - Fax:765-288-6139
Practice Address - Street 1:2598 W WHITE RIVER BLVD
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-5251
Practice Address - Country:US
Practice Address - Phone:765-747-3888
Practice Address - Fax:765-288-6139
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045241A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000223761OtherANTHEM PIN#
IN200311740GMedicaid
IN0000005243118OtherAETNA PIN#
IN200040530Medicaid
IN080191378OtherMEDICARE RAILROAD #
IN000000223761OtherANTHEM PIN#
205110JMedicare Oscar/Certification