Harvey J Komorn, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301024827 Issued in MI

Practice address

3535 W 13 Mile Rd
Suite 247
Royal Oak, MI 48073-6710

Phone

(248) 551-6520

Fax

(248) 551-6020

NPI assigned

Dec 2, 2005

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

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

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568446508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 247",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-6520",
            "fax_number": "248-551-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 247",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-6520",
            "fax_number": "248-551-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMORN",
        "first_name": "HARVEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301024827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amitai Z Kohn, M.D.
• Shoshana Rachel Kohn, FNP-BC
• Lynne Kojamanian, FNP-C
• Suleiman Kojan, MD
• Nathan Kolderman, M.D.
• Julie M Koning, R.D.
• Robert Henry Konstan, MD
• Jessica Lee Kopchia, DO
• Koprince Dermatology PLC
• Janet Lynn Koprince, D.O.

• Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Surgery Physician in Michigan

• 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.