John L. Korba, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

25747 Issued in KY

Practice address

996 Wilkinson Trce
Suite A5
Bowling Green, KY 42103-3407

Phone

(270) 782-5219

Fax

(270) 793-9385

NPI assigned

Apr 10, 2006

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: clkorba@yourcarecommunity.org

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1699738856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TRCE",
            "address_2": "SUITE A5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033407",
            "telephone_number": "270-782-5219",
            "fax_number": "270-793-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TRCE",
            "address_2": "SUITE A5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033407",
            "telephone_number": "270-782-5219",
            "fax_number": "270-793-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBA",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "25747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Knox, RBT
• Danielle Knutter
• Adrianna Nicole Kodiak, RBT
• Abby Koon
• Kelly Koons
• Bryan Matthew Korgan, CRNA
• Mary F Kovar, APRN
• Shanna D. Kozak, APRN
• Dana Clare Kramer, OT
• Christian Michael Kranz, CRNA

• Specialist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.