James Robert Kornbau, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

21488 Issued in OR

Practice address

160 S 2ND St
Coos Bay, OR 97420-1603

Phone

(541) 266-9639

Fax

(541) 266-9763

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184844573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56515 LEVI BUNCH RD",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974237742",
            "telephone_number": "541-396-3467",
            "fax_number": "541-266-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 2ND ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201603",
            "telephone_number": "541-266-9639",
            "fax_number": "541-266-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBAU",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "21488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126354",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Carroll Klemenhagen, RD LD
• Sarah Linley Kleveland
• Kelly Jo Knutson, CPHT
• Lowell Edmund Kobrin, PHD MD
• Rachel Kolbinsky, MD
• James Paul Kowall, M.D.
• Stephen P. Krajcir, MSW, LCSW
• Carrie Ann Kralicek, PMHNP-BC
• Teri Sue Kruzner, RN
• Leo Kusuda, M.D.

• Audiologist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Audiologist in Oregon

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.