William Frederick Kortum III, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

027100 Issued in LA

Practice address

3414 Moss St Ste a
Lafayette, LA 70507-6107

Phone

(337) 235-1212

NPI assigned

Mar 27, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225156151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-235-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-235-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTUM",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "027100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Alexander Koerner Jr., LPC
• Constance Anne Konikoff, MSW, LCSW
• Foster Clint Kordisch III, MD
• Margaret Kordisch
• Kortneys Kounseling Services, LLC
• David Paul Kosnosky, DO
• Abhinaya Kotha, MBBS
• Kothapalli & Kothapalli LTD, Apmc
• Manjula Kothapalli, MD
• Shankaraiah R Kothapalli, M.D.,

• General Practice Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• General Practice 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.