Internal Medicine of Alleghany

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE OF ALLEGHANY

Practice address

248 Doctors St
Suite a
Sparta, NC 28675-9421

Phone

(336) 372-2481

Fax

(336) 372-4153

NPI assigned

May 12, 2009

Last updated

Sep 15, 2009By 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

Matthew John Kovacich

Title

Practice Manager

Phone

(336) 372-2481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1972737534",
    "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": "286759421",
            "telephone_number": "336-372-2481",
            "fax_number": "336-372-4153"
        },
        {
            "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": "286759421",
            "telephone_number": "336-372-2481",
            "fax_number": "336-372-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF ALLEGHANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "KOVACICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-372-2481"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Health and Wellness PA
• Pamela Moxley Hoppers, RPH
• George Keith Howell, M.A., M.DIV., ED.S.
• Miranda Hurley, RPH
• Lesley Blair Icenhour, MSW, LCSWA
• Itherapyrx (itherapy)
• Gina Gilley Jenkins, FNP-C
• Myra Jensen
• John J Kovacich MD
• Lauren R Johnson

• 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 Sep 15, 2009; 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.