Active NPI
Thomas G. Korkos M.D.S.C.
- Plastic Surgery Physician
- Waukesha, WI
National Provider Identifier
1992876544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 34141
- Legal business name
- THOMAS G. KORKOS M.D.S.C.
- Practice address
- N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683 - Phone
- (262) 970-5600
- Fax
- (262) 970-5950
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas George Korkos
- Title
- Plastic Surgeon
- Phone
- (262) 970-5600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 34141 | WI | Primary |
Addresses
Primary practice location
N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683
Mailing address
N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683
Phone (262) 970-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32219100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Waukesha, WI
- NPI 1245297464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992876544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND RD",
"address_2": "SUITE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861683",
"telephone_number": "262-970-5600",
"fax_number": "262-970-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND RD",
"address_2": "SUITE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861683",
"telephone_number": "262-970-5600",
"fax_number": "262-970-5950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS G. KORKOS M.D.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KORKOS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "262-970-5600"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "WI",
"license": "34141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32219100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.