NPIMap

Organization Active NPI

Gloria Korta, MD, PC

  • Medical Specialty Clinic/Center
  • Winchester, MA
National Provider Identifier
1154437549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
55524 Issued in MA
Legal business name
GLORIA KORTA, MD, PC
Practice address
77 Swanton St
Suite 2
Winchester, MA 01890-2039
Phone
(781) 729-1930
Fax
(781) 729-1499
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gloria Korta, M.D.NPI 1538275995
Title
President
Phone
(781) 729-1930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 55524 MA Primary

Addresses

Primary practice location

77 Swanton St
Suite 2
Winchester, MA 01890-2039

Mailing address

77 Swanton St
Suite 2
Winchester, MA 01890-2039
Phone (781) 729-1930

Other identifiers 6

IdentifierTypeStateIssuer
93731OtherUS HEALTHCARE
130283OtherHARVARD PILGRIM
J08323OtherBLUE CROSS
3053474MedicaidMA
055524OtherTUFTS
139591OtherHEALTHSOURCE

National Provider Directory

National Provider Directory

Locations

77 Swanton St
#2
Winchester, MA 01890
Phone (781) 729-1930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154437549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 2",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-1930",
            "fax_number": "781-729-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SWANTON ST",
            "address_2": "SUITE 2",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902039",
            "telephone_number": "781-729-1930",
            "fax_number": "781-729-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA KORTA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORTA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-729-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "55524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "93731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "130283",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J08323",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053474",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "055524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "139591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.