Individual provider Active NPI

Laura A Korman, M.D.

  • Gynecology Physician
  • Portland, OR
National Provider Identifier
1922034115
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
17854 Issued in OR
Practice address
2250 NW Flanders Street
Suite 205
Portland, OR 97210-5410
Phone
(503) 227-4050
Fax
(503) 477-7673
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 17854 OR Primary

Addresses

Primary practice location

2250 NW Flanders Street
Suite 205
Portland, OR 97210-5410

Mailing address

2250 NW Flanders Street
Suite 205
Portland, OR 97210-5410
Phone (503) 227-4050

Other identifiers 1

IdentifierTypeStateIssuer
058185MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000864 OR Practitioner - Obstetrics/Gynecology 3274426366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Women'S Health CareGroup PAC ID 0648427351, 6 clinicians

Practice addresses (Care Compare)

2525 NW Lovejoy St
Suite 300
Portland, OR 97210-2864
Phone (503) 227-4050

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17854ORMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Women'S Health Care Gynecology CurrentSince Jul 1, 2012 Accepting new patients
Synergy Women'S Health Care, LLC Gynecology Past Accepting new patients

Locations

2250 NW Flanders St
Ste 205
Portland, OR 97210
Phone (503) 223-3104

2525 NW Lovejoy St
Ste 300
Portland, OR 97210
Phone (503) 227-4050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.korman.1@4050.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1922034115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS STREET",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-227-4050",
            "fax_number": "503-477-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS STREET",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105410",
            "telephone_number": "503-227-4050",
            "fax_number": "503-477-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "17854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058185",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.