Wilhelmina Cornelia Korevaar, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD025169E Issued in PA

Practice address

1 Belmont Ave
Suite 315
Bala Cynwyd, PA 19004-1617

Phone

(610) 660-5088

Fax

(610) 660-5105

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1780915736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "SUITE 315",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-660-5088",
            "fax_number": "610-660-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE",
            "address_2": "SUITE 315",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041617",
            "telephone_number": "610-660-5088",
            "fax_number": "610-660-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREVAAR",
        "first_name": "WILHELMINA",
        "middle_name": "CORNELIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD025169E",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G41823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1587822",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome Francis Knast, PH.D.
• Helene M. Koch, D.O.
• Christine R. Kodman-Jones, PH.D.
• John P Kohler, MD
• Amanda M Kopetsky
• Jordan Kowet
• Michael Paul Kowitt, PHD
• Kevin William Kozlik
• Alan David Krausz, DMD
• Joanna Ku, D.M.D.

• Pain Medicine (Anesthesiology) Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.