Edib Korkut, MD
Individual provider Active NPI Internal Medicine Physician · Pineville, IA
NPI 1679685259 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679685259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 013119 (ME)
- Practice address
- 2495 Shreveport Highway
Pineville, IA 71306 - Phone
- (318) 473-0010
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013119 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons Health Services | Past | Accepting new patients | |
| Spirit Lake Tribe | Past | Accepting new patients | |
| Spirit Lake Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 013119 | ME | Yes |
Addresses
Primary practice location
2495 Shreveport Highway
Pineville, IA 71306
Mailing address
4977 Battery LN
317
Bethesda, MD 20814-4931
Phone (301) 215-4877
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.