DR. JOHN D IRVIN MD NPI 1043207749

NPI Information

NPI: 1043207749
Provider Name: DR. JOHN D IRVIN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4654 LONG BEACH RD SE
SOUTHPORT, NC
ZIP 28461
Phone: (910) 457-9564
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DR. John D Irvin, MD is a family medicine in Southport, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. John D Irvin, MD NPI is 1043207749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4654 LONG BEACH RD SE
SOUTHPORT, NC
ZIP 28461-799
Phone: (910) 457-9564
Fax: (910) 457-6744

The enumeration date for this NPI number is 9/29/2005 and was last updated on 3/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		94-01419	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8945429	MEDICAID	NORTH CAROLINA
2	145G6	OTHER	NORTH CAROLINA	BCBS OF NC
3	2204730D	MEDICARE PIN	NORTH CAROLINA
4	0128762	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
5	D43178	MEDICARE UPIN	NORTH CAROLINA
6	77610	OTHER	NORTH CAROLINA	MEDCOST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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