Active NPI
Elizabeth C Korcz, MD
- Family Medicine Physician
- Birmingham, AL
National Provider Identifier
1730339698
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 19, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28343
- Practice address
- 3421 S Shades Crest Rd
Birmingham, AL 35244-3550 - Phone
- (205) 936-2203
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28343 | AL | Primary |
Addresses
Primary practice location
3421 S Shades Crest Rd
Birmingham, AL 35244-3550
Mailing address
3421 S Shades Crest Rd
Birmingham, AL 35244-3550
Phone (205) 936-2203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28343 | Other | AL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28343 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1730339698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 S SHADES CREST RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352443550",
"telephone_number": "205-936-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 S SHADES CREST RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352443550",
"telephone_number": "205-936-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORCZ",
"first_name": "ELIZABETH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "28343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "28343",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.