Mohamud Ali Korow, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9817 Issued in MN

Practice address

9333 Penn Ave S
Bloomington, MN 55431-2320

Phone

(952) 405-9937

Fax

(952) 303-4837

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1356055164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 PENN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312320",
            "telephone_number": "952-405-9937",
            "fax_number": "952-303-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 PENN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312320",
            "telephone_number": "952-405-9937",
            "fax_number": "952-303-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROW",
        "first_name": "MOHAMUD",
        "middle_name": "ALI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Jo Koopman
• Kirsten Marie Koos, M.D., M.P.H.
• Lynn M Kopfmann, OTRL
• Lauren Kopicki
• Margaret Bao Van Kor, OTR/L
• Katelyn Korpi
• Kenneth Korte, M.D.
• Ryan Michael Kosek, PA-C
• Gary Kosel, M.D.
• Brea Kosman

• Family Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.