Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 28246 | NC |
N | 207X00000X | Orthopaedic Surgeon | 0101036194 | VA |
NPI | 1245206820 |
---|---|
Provider Name | Mr. John Andrew Kona |
First Address | White Sulphur Springs, WV 23901-2373 |
Second Address | Farmville, VA 23901-1199 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 15/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014542S53 | MEDICARE (01) | VA |
1245206820 | (05) | VA |
134PE | BCBS OF NC (01) | NC |
134PE | STATE OF NC (01) | NC |
1425298 | CIGNA (01) | VA |
161669037 | TAX ID (01) | NC |
309283 | ANTHEM BCBS (01) | VA |
345614 | ANTHEM (01) | VA |
345614 | ANTHEM BCBS (FARMVILLE) (01) | VA |
345614 | ANTHEM HEALTH KEEPERS (FARMVILLE) (01) | VA |
4131313 | AETNA (01) | VA |
465999 | ANTHEM BCBS (01) | NC |
55036 | SENTARA PROVIDER ID (01) | NC |
62791 | MAMSI PROVIDER ID (01) | NC |
89134PE | (05) | NC |
E40688 | (02) | |
E40688 | (02) | NC |
POOO26558 | RAIL ROAD MEDICARE (01) | NC |