Olexiy Korshun, ETC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

B6443215 Issued in CA

Practice address

4375 North Las Vegas Blvd.
Suite #6
Las Vegas, NV 89115

Phone

(702) 643-2548

NPI assigned

Aug 17, 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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• L.V. Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1699986547
  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1356533814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 LAS VEGAS BLVD N",
            "address_2": "SUITE#6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150587",
            "telephone_number": "702-643-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 NORTH LAS VEGAS BLVD.",
            "address_2": "SUITE #6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89115",
            "telephone_number": "702-643-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSHUN",
        "first_name": "OLEXIY",
        "credential": "ETC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "B6443215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Brent Kornhaber
• Joshua Anthony Koroghli, PHARM.D., M.B.A
• Lamin David Koroma
• Yelena Korotky
• Vinod Korrapati, M.D.
• Lisa Rae Korslin, MSW & LCSW
• Mason Korslin
• Devawn Raybaughn Korte
• Jill Korte
• Zane Korth

• Durable Medical Equipment & Medical Supplies in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.