Active NPI
Laura Elizabeth Korpon, MHS, PA-C
- Physician Assistant
- Annapolis, MD
National Provider Identifier
1811208986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2003 Medical Pkwy
Wayson Pavilion, Suite 301
Annapolis, MD 21401-7992 - Phone
- (443) 481-3300
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
2003 Medical Pkwy
Wayson Pavilion, Suite 301
Annapolis, MD 21401-7992
Mailing address
2003 Medical Pkwy
Wayson Pavilion, Suite 301
Annapolis, MD 21401-7992
Phone (443) 481-6538
Other names 1
- Laura Elizabeth Anderson
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1811208986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 MEDICAL PKWY",
"address_2": "WAYSON PAVILION, SUITE 301",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017992",
"telephone_number": "443-481-6538",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 MEDICAL PKWY",
"address_2": "WAYSON PAVILION, SUITE 301",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017992",
"telephone_number": "443-481-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORPON",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "MHS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "ANDERSON",
"middle_name": "ELIZABETH",
"credential": "MHS, PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.