Vicki Mizue Stovall, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

38854 Issued in NC

Practice address

404 Westwood Ave
Suite 105
High Point, NC 27262-4315

Phone

(919) 882-6500

Fax

(919) 882-6501

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vstovall30501@direct.acumenmd.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Point Regional Health

  • General Acute Care Hospital
  • High Point, NC
  • NPI 1396746228
  NPD (past)
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1295774081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16954",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166954",
            "telephone_number": "866-497-8330",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE",
            "address_2": "SUITE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624315",
            "telephone_number": "919-882-6500",
            "fax_number": "919-882-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "VICKI",
        "middle_name": "MIZUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "38854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "80204",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8980204",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maiya Zatique Stockton
• Caroline Elizabeth Stone
• Grady M Stone, MD
• Bradley J. Stoneking, MD
• Andrea B Stoufer, RN
• Benjamin Strag, PA
• Brian Scott Strauss, MD
• Karacyhia Street, RBT
• Wendy Suzanne Street
• Samantha Diane Streit, LAT, ATC

• Nephrology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.