Michael Stephen Kornish, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

7286 Issued in MT

Practice address

107 6TH Ave SW
Ronan, MT 59864-2634

Phone

(406) 676-4441

Fax

(406) 676-0835

NPI assigned

Nov 1, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Providence Health & Services Mt

  dba Providence Medical Group Montana

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1215222617
  NPD (past)
• St. John's Lutheran Hospital, Inc.

  dba Cabinet Peaks Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Libby, MT
  • NPI 1588720882
  NPD (past)
• St. Patrick Hospital & Health Sciences Center

  dba Garden City Primary Care

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1457487019
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1558449124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 APPLE HOUSE LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023324",
            "telephone_number": "406-493-6318",
            "fax_number": "406-493-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642634",
            "telephone_number": "406-676-4441",
            "fax_number": "406-676-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNISH",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "7286",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "7286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43367",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalispell Regional Medical Center (Lake County Home Options Private Care)
• Kalispell Regional Medical Center, Inc (Lake County Home Options Home Health)
• Kalispell Regional Medical Center, Inc (Lake County Home Options Hospice)
• Clarissa M Kamarainen, LMT
• Katherine Stacy Kiser, M.A., LCPC
• Lake County Council on Aging
• Lindburg Drug Strata West Corp.
• Hikmat A Maaliki, MD
• Carson Douglas Macintyre, MS, LCPC
• Britney Maddox, LCSW

• Emergency Medicine Physician in Ronan, MT
• Providers in Ronan, MT by specialty
• Emergency Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.