Fountain Square Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FOUNTAIN SQUARE INTERNAL MEDICINE

Practice address

1315 2ND St SW
Ste 101
Roanoke, VA 24016-4935

Phone

(540) 344-5550

Fax

(540) 344-5205

NPI assigned

Dec 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Alan Malpass, M.D.

Title

President

Phone

(540) 344-5550

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1215090683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "STE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-344-5550",
            "fax_number": "540-344-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "STE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-344-5550",
            "fax_number": "540-344-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN SQUARE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MALPASS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-344-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy John Fortuna, D.O.
• Carla Elizabeth Foster, PA
• James E Foster II, M.D.
• Jennifer Foster, FNP-BC
• Lori A Foster, NP
• Andrea Lucas Foutz, ED.S.
• Neressa Gultiano Foutz, RN
• Roger Wright Foutz Jr., R.PH
• Martha Foy, L.P.C.
• Brandie Latrice Fraction, LPC

• Internal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.