Individual provider Active NPI

Kau Wonkemie Korto, P.A.-C.

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1598811366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C02855 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-7246
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C02855 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

PO Box 64382
Baltimore, MD 21264-4382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190822002967 DC Practitioner - Physician Assistant 3476655564 Reassigns benefits to 1 organization
I20190911001167 DE Practitioner - Physician Assistant 3476655564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

15 S Dupont Hwy
Dover, DE 19901-7430
Phone (302) 857-0876

200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

749 Middletown Warwick Rd
Christianacare Gohealth Urgent Care
Middletown, DE 19709-9095
Phone (302) 273-1614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C02855MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Aug 1, 2019 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2019 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries LLC CurrentSince Aug 1, 2019 Accepting new patients
Maryland Provo-I Medical Services, PC Physician Assistant Past Accepting new patients
Caton Emergency Physicians Physician Assistant Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Interoperability endpoints

  • Direct secure messaging: kau.korto@ghuccc.eclinicaldirectplus.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598811366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64382",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTO",
        "first_name": "KAU",
        "middle_name": "WONKEMIE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.