Active NPI
Oliver Korshin, M.D.
- Ophthalmology Physician
- Anchorage, AK
National Provider Identifier
1891797809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- AA1849
- Practice address
- 1200 Airport HTS Dr #310
Anchorage, AK 99508-2975 - Phone
- (907) 276-8838
- Fax
- (907) 258-0735
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | AA1849 | AK | Primary |
Addresses
Primary practice location
1200 Airport HTS Dr #310
Anchorage, AK 99508-2975
Mailing address
1200 Airport HTS Dr #310
Anchorage, AK 99508-2975
Phone (907) 276-8838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1849 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091116000315 | AK | Practitioner - Ophthalmology | 8729126586 | Practice locations: Anchorage, AK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA1849 | AK | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1891797809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 AIRPORT HTS DR #310",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082975",
"telephone_number": "907-276-8838",
"fax_number": "907-258-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AIRPORT HTS DR #310",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082975",
"telephone_number": "907-276-8838",
"fax_number": "907-258-0735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORSHIN",
"first_name": "OLIVER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AK",
"license": "AA1849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD1849",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.