Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101028090 | VA |
NPI | 1033191952 |
---|---|
Provider Name | Dr. Michael John Kovac JR. |
First Address | Charlottesville, VA 22911-8812 |
Second Address | Charlottesville, VA 22911-8812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102221 | ANTHEM INS. CO. (01) | VA |
14107 | CHIR INS. CO. (01) | VA |
229990 | SOUTHERN HEALTH (01) | VA |
367137 | ALLIANCE INS CO (01) | VA |
367137 | MAMSI INS. CO. (01) | VA |
5060072 | CIGNA INS. CO. (01) | VA |
B09503 | (02) | VA |
P00090532 | MEDICARE RAILROAD (01) | VA |