Fountain Square Internal Medicine in Roanoke - Internal Medicine
Fountain Square Internal Medicine - NPI 1215090683
Fountain Square Internal Medicine is a Internal Medicine in Roanoke, Virginia. Fountain Square Internal Medicine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Fountain Square Internal Medicine is 1215090683. The last update date is 2010-01-28.
Fountain Square Internal Medicine's current location address is 1315 2nd St Sw, Roanoke, Virginia. You can contact this provider via phone number 5403445550 and fax number 5403445205. The mailing address for Fountain Square Internal Medicine is 1315 2nd St Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain Square Internal Medicine |
|---|---|
| Address | 1315 2nd St Sw, Roanoke, Virginia |
| Phone Number | 5403445550 |
| Fax Number | 5403445205 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Malpass Alan Michael |
| Credentials | M.D. |
| Telephone Number | 5403445550 |
NPI Number Detail
| NPI Number | 1215090683 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2010-01-28 |
Provider Mailing Address Detail
| Address | 1315 2nd St Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240164935 |
| Phone Number | 5403445550 |
| Fax Number | 5403445205 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
|
Definition: 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 di |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Fountain Square Internal Medicine?
The Fountain Square Internal Medicine has been issued the NPI (National Provider Identifier) 1215090683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Fountain Square Internal Medicine's physical address?
The Fountain Square Internal Medicine is physically located at 1315 2Nd St Sw, in the city of Roanoke, VA, with the postal code 240164935.
What is the Fountain Square Internal Medicine's area of specialization and corresponding taxonomy classification?
The Fountain Square Internal Medicine's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215090683 to Fountain Square Internal Medicine?
The Centers for Medicare & Medicaid Services originally issued the 1215090683 to Fountain Square Internal Medicine on 2006-12-18.
When was the information related to Fountain Square Internal Medicine most recently updated or refreshed?
The details pertaining to the Fountain Square Internal Medicine, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-28.
NPI Number: 1891797999
Address: Po Box 4048, Houston, TX