Marian Korosec, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35053377 Issued in OH

Practice address

16030 E High St
Middlefield, OH 44062-9401

Phone

(440) 632-0770

Fax

(440) 632-0321

NPI assigned

Sep 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Doctor of Medicine

Practice roles

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

• Geauga Medical Group Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1386744027
  NPD (past) Authorized official

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487754107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 E HIGH ST",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629401",
            "telephone_number": "440-632-0770",
            "fax_number": "440-632-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROSEC",
        "first_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35053377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Robert Karges, LISW-S
• Kathy R. Gonzalez O.D. L.L.C.
• Amy J Katz, RPH
• Kelly Katherine Kiss-Jagoda
• Amber L Kokal, M.S.
• Christopher James Kortan
• James Michael Kover, O.D.
• Marina Kras, PA-C
• Jan G Krejsa
• Hope Kromer

• Family Medicine Physician in Middlefield, OH
• Providers in Middlefield, OH by specialty
• Family Medicine Physician in Ohio

• 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.