VICKI MIZUE STOVALL (NPI# 1295774081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295774081 |
| Entity Type | Individual |
| Full Name | VICKI MIZUE STOVALL |
| Credential | MD |
| Practice Address |
404 Westwood Ave Suite 105 High Point NC 27262-4315 |
| Mailing Address |
Po Box 16954 Chapel Hill NC 27516-6954 |
| Practice Telephone | 9198826500 |
| Practice Fax Number | 9198826501 |
| Mailing Telephone | 8664978330 |
| Mailing Fax Number | 9199676647 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
38854 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8980204 | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 80204 | 01 |
| Street Address |
404 WESTWOOD AVE SUITE 105 |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27262-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375160 | Robert Tad Migliardi | Dermatology | 404 Westwood Ave, Ste 107, High Point, NC 27262-4316 | 2005-06-13 |
| 1043834500 | Helen Andraos | Physician Assistant | 404 Westwood Ave, High Point, NC 27262-4315 | 2020-06-01 |
| 1174046387 | Ginny Vanderburg | Physician Assistant | 404 Westwood Ave, High Point, NC 27262-4315 | 2017-07-19 |
| 1699123836 | Regional Physicians LLC | Internal Medicine | 404 Westwood Ave, Ste. 207, High Point, NC 27262 | 2016-05-27 |
| 1669836300 | Henry Calvin Martensen IIi | Physician Assistant | 404 Westwood Ave, Suite 303, High Point, NC 27262-4315 | 2016-04-08 |
| 1952738346 | Regional Physicians LLC | Surgery | 404 Westwood Ave, Ste.205, High Point, NC 27262-4315 | 2013-10-01 |
| 1235405275 | Kirsten N Martine-schrader | Specialist/Technologist | 404 Westwood Ave, Suite 205, High Point, NC 27262-4315 | 2012-03-23 |
| 1447537535 | High Point Regional Health System | Neurological Surgery | 404 Westwood Ave, Suite 201, High Point, NC 27262-4315 | 2011-11-03 |
| 1518285980 | Regional Physicians LLC | Specialist | 404 Westwood Ave, Ste. 205, High Point, NC 27262 | 2010-05-11 |
| 1043403637 | Keith Bryan Cottle | Counselor | 404 Westwood Ave, Suite 207, High Point, NC 27262-4315 | 2007-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623620 | Lane and Associates Xxxviii Dds Pa | Dentist | 101 Northpoint Avenue, High Point, NC 27262 | 2020-03-12 |
| 1043869936 | Norma Mechelle Cox | Technician | 1145 Hawick Dr, High Point, NC 27262 | 2019-09-04 |
| 1417514910 | Jennifer A. Loveland Dmd II Pllc | Dentist | 1007 Phillips Avenue, Suite 103, High Point, NC 27262 | 2019-05-21 |
| 1982175196 | World Relief Corp of National Association of Evangelicals | Marriage & Family Therapist | 155 Northpoint Avenue, Suite 102, High Point, NC 27262 | 2018-12-16 |
| 1538679907 | Zackary Daniel Rogers | Physician Assistant | 1814 Westchester Dr #301, High Point, NC 27262 | 2017-10-11 |
| 1184164162 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2005 N Main St., Suite 101, High Point, NC 27262 | 2017-02-24 |
| 1225483951 | Randall Godette | Physician Assistant | 611 Lindsay Street, High Point, NC 27262 | 2016-05-02 |
| 1336537356 | Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Lindsay Street, High Point, NC 27262 | 2014-12-29 |
| 1871902346 | Isha Bangura | Counselor | 910 Mill Ave., High Point, NC 27262 | 2014-08-08 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in zip 27262 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1083971485 | Cornerstone Health Care, LLC | Internal Medicine | 4515 Premier Dr, Suite 403, High Point, NC 27265-8357 | 2012-04-23 |
| 1023327426 | Adetoye Lufadeju | Internal Medicine | 4515 Premier Drive, Suite 403, High Point, NC 27262-8195 | 2010-10-02 |
| 1275774432 | Bmi Nephrology Systems, Inc. | Internal Medicine | 635 N Main St, High Point, NC 27260-5017 | 2009-03-18 |
| 1477747756 | Sameea Sadiq | Internal Medicine | 4515 Premier Dr, Ste. 403, High Point, NC 27265-8357 | 2007-08-30 |
| 1952344996 | Jeanne Marie Zekan | Internal Medicine | 404 Westwood Ave, Suite 105, High Point, NC 27262-4315 | 2006-06-14 |
| 1003859133 | Richard Gary Appel | Internal Medicine | 404 Westwood Ave, Suite 105, High Point, NC 27262-4315 | 2006-06-14 |
| 1639118607 | High Point Nephrology Associates, PC | Internal Medicine | 404 Westwood Ave, Suite 105, High Point, NC 27262-4316 | 2006-06-05 |
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|---|---|---|---|---|
| 1982251492 | Renal Care, Pllc | Internal Medicine | 607 E Parker Rd Ste A, Morganton, NC 28655-8105 | 2019-08-20 |
| 1508360462 | North Carolina Nephrology Pa | Internal Medicine | 3604 Bush St Fl 2, Raleigh, NC 27609-7511 | 2018-03-23 |
| 1558865444 | North Carolina Nephrology Pa | Internal Medicine | 1006 N Arendell Ave, Zebulon, NC 27597-2352 | 2018-03-23 |
| 1932603800 | North Carolina Nephrology Pa | Internal Medicine | 2824 Rogers Rd Ste 104, Wake Forest, NC 27587-3896 | 2018-03-23 |
| 1760986608 | North Carolina Nephrology Pa | Internal Medicine | 160 Macgregor Pines Dr Ste 301, Cary, NC 27511-6037 | 2018-03-23 |
| 1083168181 | Private Diagnostic Clinic, Pllc | Internal Medicine | 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 | 2016-08-08 |
| 1932596525 | Robert Lorch | Internal Medicine | 2 Genome Ct, Durham, NC 27710-3011 | 2015-04-21 |
| 1770991945 | Barbara Gillespie | Internal Medicine | 109 Linton Banks Pl, Cary, NC 27513-2051 | 2014-07-31 |
| 1902216757 | Evan Zeitler | Internal Medicine | 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 | 2014-05-02 |
| 1649512583 | William Preston Nixon Jr. | Internal Medicine | 2 Jasmine Ct, Wrightsville Beach, NC 28480-1924 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27262 |
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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.