Mazen Saade Korab, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.15201R Issued in LA

Practice address

621 N Avenue K
Crowley, LA 70526-4513

Phone

(337) 783-8215

Fax

(337) 783-8884

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crowley Walk in Clinic CorporationGroup PAC ID 9133215627, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkorab1443665@direct.ochsner.org

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.

• Crowley Walk in Clinic Corporation

  • Pediatrics Physician
  • Crowley, LA
  • NPI 1982787180
  Medicare reassignment Care Compare group NPD
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  NPD (past)

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

• Acadia General Hospital, Inc.

  dba Acadia General Hospital

  • General Acute Care Hospital
  • Crowley, LA
  • NPI 1669882940
  Care Compare affiliation

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174749196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264513",
            "telephone_number": "337-783-8215",
            "fax_number": "337-783-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264513",
            "telephone_number": "337-783-8215",
            "fax_number": "337-783-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORAB",
        "first_name": "MAZEN",
        "middle_name": "SAADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.15201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161322",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne H King, LMSW
• Ashli King
• Katy T. Klumpp-Richard, D.C.
• Anthony Knatt Jr.
• Carolyn R Knowles, LCSW
• Yamen Saade Korab, M.D.
• Maure Kyser
• Laboratory Corporation of America
• Krislyn R Lacaze, FNP-C
• Lafayette Health Ventures, Inc (Acadia General Hospital Physician Group)

• Pediatrics Physician in Crowley, LA
• Providers in Crowley, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.