DR. JOHN KUNNUTHARA JOHN (NPI# 1033105739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033105739 |
| Entity Type | Individual |
| Full Name | DR. JOHN KUNNUTHARA JOHN |
| Credential | MD |
| Practice Address |
744 Airport Rd Kinston NC 28504-8800 |
| Practice Telephone | 2525230026 |
| Practice Fax Number | 2525231855 |
| Mailing Telephone | 2525230026 |
| Mailing Fax Number | 2525231855 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 200001496 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 1273P | 01 |
| NC | GROUP NPI | 1467405431 | 01 |
| NC | INDIVIDUAL NPI | 1033105739 | 01 |
| NC | EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE | 5908296 | 01 |
| NC | EASTERN CAROLINA PHYSICIANS GROUP MEDICAID NUMBER FOR KINSTON | 8901960 | 01 |
| NC | 891273P | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710368154 | John John | Internal Medicine | 743 Spring St Ne, Gainesville, GA 30501 | 2015-06-11 |
| 1023291952 | John Mattathil John | Social Worker | 185 Montague St, 2nd Floor, Brooklyn, NY 11201-3608 | 2007-12-13 |
| 1497789507 | John Puthenpurackal John | Psychiatry & Neurology | 514 W 3rd Ave, Warren, PA 16365-2201 | 2006-07-11 |
| Street Address |
744 AIRPORT RD |
| City | KINSTON |
| State | NC |
| Zip Code | 28504-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670695 | Gary Herschel Heck | Internal Medicine | 744 Airport Rd, Kinston, NC 28504-8800 | 2005-09-26 |
| 1578946729 | Kimberly C Wade | Nurse Practitioner | 744 Airport Rd, Kinston, NC 28504-8800 | 2015-07-07 |
| 1285049817 | Physicians East, Pa | Internal Medicine | 744 Airport Rd, Kinston, NC 28504-8800 | 2014-06-23 |
| 1659783330 | Dana Wade | Nurse Practitioner | 744 Airport Rd, Kinston, NC 28504-8800 | 2014-05-29 |
| 1245642321 | Amanda Cauley-harvey | Nurse Practitioner | 744 Airport Rd, Kinston, NC 28504-8800 | 2014-05-23 |
| 1740460492 | Gisela Ernestine Stroud | Nurse Practitioner | 744 Airport Rd, Kinston, NC 28504-8800 | 2007-11-10 |
| 1467405431 | Eastern Carolina Physicians P.a. | Internal Medicine | 744 Airport Rd, Kinston, NC 28504-8800 | 2006-05-18 |
| 1306832001 | Christie Isenhour Westbrook | Physician Assistant | 744 Airport Rd, Kinston, NC 28504-8800 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
| 1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
| 1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
| 1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
| 1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
| 1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
| 1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
| 1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
| 1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
| 1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
| Find all providers in zip 28504 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
| 1063499861 | Michael B King | Internal Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2005-12-22 |
| 1902887292 | Kinston Diagnostic Group Pa | Internal Medicine | 109 Airport Road, Kinston, NC 28501-1693 | 2005-11-14 |
| 1780670695 | Gary Herschel Heck | Internal Medicine | 744 Airport Rd, Kinston, NC 28504-8800 | 2005-09-26 |
| 1285049817 | Physicians East, Pa | Internal Medicine | 744 Airport Rd, Kinston, NC 28504-8800 | 2014-06-23 |
| 1710144290 | Michael Simpson Diamond | Internal Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2008-05-21 |
| 1487858114 | Juan G Verastegui | Internal Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2007-06-14 |
| 1326259425 | Kris B Cummings | Internal Medicine | 701 Doctors Drive, Suite N, Kinston, NC 28501-1584 | 2007-05-24 |
| 1780801282 | Ava Hudson | Internal Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2007-04-19 |
| 1043433790 | Kishore Roy Chowdhury | Internal Medicine | 100 Airport Rd, Lenoir Memorial Hospital, Kinston, NC 28501-1604 | 2007-04-11 |
| Find all providers in KINSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.