LEO I. KOROTKI, M.D. (NPI# 1053371617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053371617 |
| Entity Type | Organization |
| Organization Name | LEO I. KOROTKI, M.D. |
| Other Organization Name | PAIN AND WELLNESS CENTER |
| Practice Address |
21 West Rd Suite 105 Baltimore MD 21204-2325 |
| Practice Telephone | 4108239333 |
| Practice Fax Number | 4108239335 |
| Mailing Telephone | 4108239333 |
| Mailing Fax Number | 4108239335 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | DR. LEO ISRAEL KOROTKI (OWNER) |
| Authorized Official Telephone | 4108239333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | D0024017 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | ALLIANCE | 218835 | 01 |
| MD | BLUE CROSS/BLUE SHIELD | 5037 | 01 |
| Other Name | Type Code |
|---|---|
| Pain and Wellness Center | Other Name - Individual/Organization |
| Street Address |
21 WEST RD SUITE 105 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21204-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306294244 | Catherine C Genthner | Nutritionist | 21 West Rd, Suite 103, Baltimore, MD 21204-2325 | 2016-06-01 |
| 1013385210 | Hope Gilchrist | Counselor | 21 West Rd, Suite 111, Baltimore, MD 21204-2325 | 2015-09-04 |
| 1598983900 | Mary C. Cogar | Psychologist | 21 West Rd, Suite 150, Baltimore, MD 21204-2325 | 2007-04-23 |
| 1003930777 | Ralph D. Raphael, Ph.d.pa | Psychologist | 21 West Rd, Suite 150, Baltimore, MD 21204-2325 | 2007-03-19 |
| 1588720478 | E. Timothy Souweine | Internal Medicine | 21 West Rd, Suite 100, Baltimore, MD 21204-2325 | 2006-12-28 |
| 1235295114 | Bruce Rosenberg | Internal Medicine | 21 West Rd, Suite 100, Baltimore, MD 21204-2325 | 2006-12-28 |
| 1144316175 | Ralph D Raphael | Psychologist | 21 West Rd, Suite 150, Baltimore, MD 21204-2325 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766167 | Amit Grewal | Physical Medicine & Rehabilitation | 222 E Saratoga St Ste 813, Baltimore, MD 21202-3543 | 2020-10-06 |
| 1659919793 | Monica Yoon | Physical Medicine & Rehabilitation | 1602 Waverly Way, Baltimore, MD 21239-2309 | 2019-12-19 |
| 1174037139 | Allstar Rehab | Physical Medicine & Rehabilitation | 401 Reisterstown Rd, Baltimore, MD 21208-5320 | 2017-11-28 |
| 1821450362 | Anthony Manfredo | Physical Medicine & Rehabilitation | 2401 W. Belvedere Ave., Department of Physical Medicine and Rehabilitation, Baltimore, MD 21215 | 2016-03-23 |
| 1487936670 | Pegah Dehghan | Physical Medicine & Rehabilitation | 600 N Wolfe St Dept Of, Baltimore, MD 21287-0005 | 2011-09-13 |
| 1366772220 | Antonio Serra Ravida | Physical Medicine & Rehabilitation | 1120 Saint Paul St, Ground Level, Baltimore, MD 21202-2618 | 2009-12-28 |
| 1689803363 | Henry A Spindler, M.d.p.a. | Physical Medicine & Rehabilitation | 9105 Franklin Sq. Dr, Ste 318, Baltimore, MD 21237-3930 | 2009-07-02 |
| 1396927638 | Henry Arthur Spindler Jr. | Physical Medicine & Rehabilitation | 9105 Franklin Square Dr Ste 318, Baltimore, MD 21237-5300 | 2007-11-28 |
| 1710043732 | Scott John Lepre | Physical Medicine & Rehabilitation | 201 E. University Pkwy., Suite 670, Medstar Union Memorial Hospital, Baltimore, MD 21218 | 2006-12-28 |
| 1194735431 | Mark Gloth | Physical Medicine & Rehabilitation | 201 E University Pkwy # 6e, Baltimore, MD 21218-2829 | 2006-08-09 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on LEO I. KOROTKI, M.D..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.