Valley River Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALLEY RIVER MEDICAL GROUP

Practice address

125 Medical Park Lane
Suite G
Murphy, NC 28906

Phone

(828) 835-9455

Fax

(828) 835-7065

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Ken A Cassell, MD

Title

President

Phone

(828) 835-9555

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720018641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK LANE",
            "address_2": "SUITE G",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "28906",
            "telephone_number": "828-835-9455",
            "fax_number": "828-835-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEDICAL PARK LANE",
            "address_2": "SUITE G",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "28906",
            "telephone_number": "828-835-9455",
            "fax_number": "828-835-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RIVER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-835-9555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0105G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890105G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monique R. Veroline, PTA
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• Kathryn Gibson Waggoner, D.O.
• Wal-Mart Pharmacy

• Internal Medicine Physician in Murphy, NC
• Providers in Murphy, 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 Aug 22, 2020; 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.