NPIMap

Individual provider Active NPI

Charles Harris Korman, DO

  • Internal Medicine Physician
  • Rockledge, PA
National Provider Identifier
1033158308
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS013667 Issued in PA
Practice address
8 Huntingdon Pike
100
Rockledge, PA 19046-4338
Phone
(215) 663-8880
Fax
(215) 663-8898
NPI assigned
Jun 5, 2006
Last updated
Apr 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS013667 PA Primary

Addresses

Primary practice location

8 Huntingdon Pike
100
Rockledge, PA 19046-4338

Mailing address

8 Huntingdon Pike
100
Rockledge, PA 19046-4338
Phone (215) 663-8880

Other identifiers 12

IdentifierTypeStateIssuer
2760579000OtherPAINDEPENDENCE BLUE CROSS
597586OtherPAMEDICARE GROUP
15793OtherPABRAVO HEALTH
3Y7846OtherPAHEALTH NET
P00416093OtherPARAILROAD MEDICARE
7554880OtherPAAETNA PPO
450204OtherPAHEALTH AMERICA
1464152OtherPAAETNA HMO
30041231OtherPAKMHP
30043529OtherPAKMHP
101713292MedicaidPA
1894024OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061009000055 PA Practitioner - Internal Medicine 0840296273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

515 Pennsylvania Ave
Fort Washington, PA 19034-3314
Phone (215) 926-3535

8 Huntingdon Pike
Suite 100
Rockledge, PA 19046-4338
Phone (215) 663-8880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS013667PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. CurrentSince Sep 1, 2006 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients
Temple Physicians Inc. Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Temple Physicians Inc Internal Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1033158308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HUNTINGDON PIKE",
            "address_2": "100",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464338",
            "telephone_number": "215-663-8880",
            "fax_number": "215-663-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HUNTINGDON PIKE",
            "address_2": "100",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464338",
            "telephone_number": "215-663-8880",
            "fax_number": "215-663-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "CHARLES",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2760579000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "597586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO HEALTH",
            "identifier": "15793",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "3Y7846",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00416093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7554880",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "450204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1464152",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "30041231",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMHP",
            "identifier": "30043529",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101713292",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1894024",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

Verify at the official NPI Registry.