John J Kovacich MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23588 Issued in NC

Legal business name

JOHN J KOVACICH MD

Practice address

248 Doctors St
Suite a
Sparta, NC 28675-9247

Phone

(336) 372-2481

Fax

(336) 372-5143

NPI assigned

Nov 29, 2007

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah K Kovacich

Title

Business Manager

Phone

(336) 372-2365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1386826592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 DOCTORS ST",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759247",
            "telephone_number": "336-372-2481",
            "fax_number": "336-372-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 DOCTORS ST",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759247",
            "telephone_number": "336-372-2481",
            "fax_number": "336-372-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J KOVACICH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "KOVACICH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "336-372-2365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sparta, NC
• Providers in Sparta, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.