Active NPI
Carl J Porchey, MD
- Internal Medicine Physician
- Yadkinville, NC
National Provider Identifier
1336341296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 651
- Practice address
- 624 W Main St
Yadkinville, NC 27055-7804 - Phone
- (336) 679-2041
- Fax
- (336) 679-6744
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 651 | NC | Primary |
Addresses
Primary practice location
624 W Main St
Yadkinville, NC 27055-7804
Mailing address
1109 Boulder Rd
Yadkinville, NC 27055-5609
Phone (336) 961-4574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336341296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 BOULDER RD",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270555609",
"telephone_number": "336-961-4574",
"fax_number": "336-679-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W MAIN ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270557804",
"telephone_number": "336-679-2041",
"fax_number": "336-679-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCHEY",
"first_name": "CARL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yadkinville, NC
- Piedmont Gastroenterology Specialists
- Piedmont Village at Yadkinville, Inc. (Piedmont Village at Yadkinville)
- Pinebrook Residential Center 1
- Pinebrook Residential Center 2
- Wendy June Pirk, LPN
- Luz-Hazel Maria Pyle
- Faiza Rais-Reynolds, MD
- Barbara J. Reece, RN
- Kathleen Marie Reichert, FNP
- Nicolas Dalton Rhodes, M.S., SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.