Provider Demographics
NPI:1245206820
Name:KONA, JOHN ANDREW (MD,)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANDREW
Last Name:KONA
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 927
Mailing Address - Street 2:5 E ALVON ROAD, SUITE 7
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:23901-2373
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:304-536-5031
Practice Address - Street 1:800 OAK ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-1199
Practice Address - Country:US
Practice Address - Phone:434-392-8811
Practice Address - Fax:434-392-7654
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28246204C00000X
VA0101036194207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA309283OtherANTHEM BCBS
VA345614OtherANTHEM BCBS (FARMVILLE)
NC62791OtherMAMSI PROVIDER ID
NCPOOO26558OtherRAIL ROAD MEDICARE
NC134PEOtherSTATE OF NC
VA1245206820Medicaid
VA1425298OtherCIGNA
NC161669037OtherTAX ID
VA014542S53OtherMEDICARE
VA345614OtherANTHEM HEALTH KEEPERS (FARMVILLE)
VA4131313OtherAETNA
NC55036OtherSENTARA PROVIDER ID
NC134PEOtherBCBS OF NC
VA345614OtherANTHEM
NC465999OtherANTHEM BCBS
NC89134PEMedicaid
VA00X677C03Medicare PIN
VA345614OtherANTHEM
NC55036OtherSENTARA PROVIDER ID
NC161669037OtherTAX ID
E40688Medicare UPIN
NCE40688Medicare UPIN