Robert E. Koorse MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032768 Issued in CT

Legal business name

ROBERT E. KOORSE MD LLC

Practice address

1000 Asylum Ave
Suite 4303
Hartford, CT 06105-1770

Phone

(860) 524-5083

Fax

(860) 524-5085

NPI assigned

Jul 5, 2007

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Koorse, M.D.

Title

Owner

Phone

(860) 524-5083

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert H. Berland, M.D.

  • Vascular Neurology Physician
  • Hartford, CT
  • NPI 1265409726
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1073711651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 4303",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-524-5083",
            "fax_number": "860-524-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 4303",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-524-5083",
            "fax_number": "860-524-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. KOORSE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KOORSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-524-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Sanford Robbins, MD
• Michael James Robbins, D.O.
• Roxanna Lily Robbins, MS APRN AGACNP-BC
• Brian Roberge
• Sara Roberge
• Robert J. Mailloux DMD
• Beth M Roberts, LCSW
• Charlecinth Roberts, MD
• Dorothy O Roberts
• Matthew Steven Roberts, DC.

• Internal Medicine Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.