Active NPI
Clifford D. Korf, PA-C
- Physician Assistant
- Columbus, NE
National Provider Identifier
1629144837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 954
- Practice address
- 4600 38TH St
Columbus, NE 68601-1664 - Phone
- (402) 564-7118
- Fax
- (402) 562-3378
- NPI assigned
- Nov 28, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 954 | NE | Primary |
Addresses
Primary practice location
4600 38TH St
Columbus, NE 68601-1664
Mailing address
PO Box 1800
Columbus, NE 68602-1800
Phone (402) 564-7118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47063919813 | Medicaid | NE | |
| 38619 | Other | NE | BCBS NE FOR CCH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Cardiology Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Lincoln, NE
- NPI 1396037875
-
dba Bryan Heart
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1629144837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1800",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686021800",
"telephone_number": "402-564-7118",
"fax_number": "402-562-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 38TH ST",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686011664",
"telephone_number": "402-564-7118",
"fax_number": "402-562-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORF",
"first_name": "CLIFFORD",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47063919813",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE FOR CCH",
"identifier": "38619",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.