Gregg Allen Korbon, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101033916 Issued in VA

Practice address

2050 Abbey Road
Suite D
Charlottesville, VA 22911

Phone

(434) 974-7200

NPI assigned

Aug 17, 2006

Last updated

Aug 13, 2012By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc Therapy,LLC

  • Physical Medicine & Rehabilitation Physician
  • Charlottesville, VA
  • NPI 1659782902
  NPD (past)
• Albemarle Anesthesia PLC

  • Anesthesiology Physician
  • Charlottesville, VA
  • NPI 1851409171
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1861505224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ABBEY ROAD",
            "address_2": "SUITE D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22911",
            "telephone_number": "434-974-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBON",
        "first_name": "GREGG",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101033916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010369894",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "249674",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Lee Kongable, FNP
• Matthew Kongkatong, M.D
• Samuel Benedict Konkol, MD
• Kimberly G. Konold
• Skyler Riston Koontz, FNP
• Kathryn Korbon
• Riley Koren
• Barbara Jean Korol, CRNA
• Kellee Kortas, NTP
• Vijaya K Kosaraju, M.D.

• Anesthesiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.