NPIMap

Organization Active NPI

Stallworth Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Middlesboro, KY
National Provider Identifier
1306185798
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40788 Issued in KY
Legal business name
STALLWORTH INTERNAL MEDICINE AND PEDIATRICS
Practice address
2010 Cumberland Ave
Middlesboro, KY 40965-2829
Phone
(606) 242-2077
Fax
(606) 242-2027
NPI assigned
Feb 6, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Lovie A. Stallworth, M.D.NPI 1013998327
Title
M.D.
Phone
(606) 242-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40788 KY Primary
Pediatrics Physician 208000000X 40788 KY

Addresses

Primary practice location

2010 Cumberland Ave
Middlesboro, KY 40965-2829

Mailing address

2010 Cumberland Ave
Middlesboro, KY 40965-2829
Phone (606) 242-2077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1306185798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652829",
            "telephone_number": "606-242-2077",
            "fax_number": "606-242-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CUMBERLAND AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652829",
            "telephone_number": "606-242-2077",
            "fax_number": "606-242-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLWORTH INTERNAL MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "LOVIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "606-242-2077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "40788",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.