Michael Nicholas Kormannik, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2300 Issued in PA

Practice address

201 Floral Vale Blvd
Yardley, PA 19067-5524

Phone

(215) 860-0100

NPI assigned

Oct 16, 2018

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

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1447726559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 BRILL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242036",
            "telephone_number": "215-744-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675524",
            "telephone_number": "215-860-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMANNIK",
        "first_name": "MICHAEL",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "PA",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Koch
• Kimberly Koffman, CNIM
• Bonniejean Kolich, RDH
• Veneela Koppolu
• Kavita Koria
• Sachin Koshiya, PT MS DPT
• Paul Michael Kosmorsky, D.O.
• Kowalski Surgical Center LLC
• Christopher Kowalski, MD
• Anna Kozlowska, LCSW

• Electroneurodiagnostic Specialist/Technologist in Yardley, PA
• Providers in Yardley, PA by specialty
• Electroneurodiagnostic Specialist/Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.