NPIMap

Organization Active NPI

Comprehensive Medical Associates, PLLC

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1386843779
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200500060 Issued in NC
Legal business name
COMPREHENSIVE MEDICAL ASSOCIATES, PLLC
Practice address
5130 Southport Supply Rd SE
Suite 101 a
Southport, NC 28461-9261
Phone
(910) 454-4032
Fax
(910) 454-4033
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Sherry Z Ikalowych, MD MSNPI 1366419624
Title
Physician/Owener
Phone
(910) 454-4032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 200500060 NC Primary

Addresses

Primary practice location

5130 Southport Supply Rd SE
Suite 101 a
Southport, NC 28461-9261

Mailing address

5130 Southport Supply Rd SE
Suite 101 a
Southport, NC 28461-9261
Phone (910) 454-4032

Other identifiers 4

IdentifierTypeStateIssuer
5902156MedicaidNC
9406199OtherPHCS
140K2OtherNCBCBS OF NC
8089924OtherNCCIGNA

Other names 1

  • Sherry Zilbert Ikalowych, MD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1386843779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SOUTHPORT SUPPLY RD SE",
            "address_2": "SUITE 101 A",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619261",
            "telephone_number": "910-454-4032",
            "fax_number": "910-454-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SOUTHPORT SUPPLY RD SE",
            "address_2": "SUITE 101 A",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619261",
            "telephone_number": "910-454-4032",
            "fax_number": "910-454-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "IKALOWYCH",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PHYSICIAN/OWENER",
        "authorized_official_telephone_number": "910-454-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9406199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "140K2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8089924",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherry Zilbert Ikalowych, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.