Irwin S. Korngut Mdpa

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E9753 Issued in TX

Legal business name

IRWIN S. KORNGUT MDPA

Practice address

8220 Walnut Hill LN
Suite 110
Dallas, TX 75231-4427

Phone

(214) 739-5505

Fax

(214) 987-3194

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Irwin S Korngut, M.D.NPI 1669430351

Title

Prwsident

Phone

(214) 739-5505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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

• Irwin Steven Korngut, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1669430351
  Medicare reassignment Authorized official
• Branden Blanton, AGNP

  • Primary Care Nurse Practitioner
  • Tyler, TX
  • NPI 1174084024
  NPD (past)
• Lisa Harper Clark, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1043264799
  NPD (past)
• Corinthia McLeroy, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1467762070
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1154611044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-739-5505",
            "fax_number": "214-987-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 WALNUT HILL LN",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314427",
            "telephone_number": "214-739-5505",
            "fax_number": "214-987-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN S. KORNGUT MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "KORNGUT",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRWSIDENT",
        "authorized_official_telephone_number": "214-739-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E9753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Neurotech, PA
• Eryia Shanise Irving, OT
• Jazzmon Simon Irving
• Sierra Amanda Irving, MD
• Irwin K Ornish DDS Ms Inc
• Charles F. Irwin, M.D.
• Kathryn Elizabeth Irwin, AGACNP-BC
• Katrina Irwin, RN
• Kaylee Leilani Irwin
• Larry James Irwin, PA-C

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.