Active NPI
Michael David Korpman, M.D.
- Family Medicine Physician
- Altamonte Springs, FL
National Provider Identifier
1497782361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 038050
- Practice address
- 440 W Highway 436
Altamonte Springs, FL 32714-4136 - Phone
- (407) 788-2000
- Fax
- (407) 788-2024
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 038050 | FL | Primary |
Addresses
Primary practice location
440 W Highway 436
Altamonte Springs, FL 32714-4136
Mailing address
36019 S Fish Camp Rd
Grand Island, FL 32735-9608
Phone (352) 357-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038050 | FL | MD | Family Medicine Physician |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497782361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36019 S FISH CAMP RD",
"city": "GRAND ISLAND",
"state": "FL",
"postal_code": "327359608",
"telephone_number": "352-357-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W HIGHWAY 436",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327144136",
"telephone_number": "407-788-2000",
"fax_number": "407-788-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORPMAN",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "038050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- 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.